NPIMap

Individual provider Active NPI

Patrick Jordan, DPM

  • Podiatrist
  • Salinas, CA
National Provider Identifier
1922425487
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5503 Issued in CA
Practice address
110 Harden Pkwy Ste 101
Salinas, CA 93906
Phone
(831) 443-6050
NPI assigned
Mar 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5503 CA Primary

Addresses

Primary practice location

110 Harden Pkwy Ste 101
Salinas, CA 93906

Mailing address

110 Harden Pkwy Ste 101
Salinas, CA 93906-5257
Phone (831) 443-6050

Other practice location 1

506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-5716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510001785 PA Practitioner - Podiatry 5991071664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Foot and Ankle Specialists of PA LLCGroup PAC ID 1153704754, 26 clinicians

Practice addresses (Care Compare)

1546 Packer Ave
Philadelphia, PA 19145-5448
Phone (215) 334-9900

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue53
Removal of skin lesions1-10
Removal of nail tissue714
Removal or shaving of skin growth520
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Foot and Ankle Specialists of PA LLC CurrentSince Apr 1, 2024 Accepting new patients
Integrated Foot and Ankle Specialists of PA LLC CurrentSince Apr 1, 2024 Accepting new patients
Synergyhealth Foot & Ankle Associates, PLLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

1546 Packer Ave
Philadelphia, PA 19145
Phone (215) 334-9900

123 Chestnut St
Ste 201
Philadelphia, PA 19106
Phone (215) 923-2455

2610 Gaskins Rd
Ste A
Henrico, VA 23238
Phone (804) 310-3894

14349 Justice Rd
Midlothian, VA 23113
Phone (804) 837-4144

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1922425487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HARDEN PKWY STE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939065257",
            "telephone_number": "831-443-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HARDEN PKWY STE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93906",
            "telephone_number": "831-443-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153609",
            "country_code": "US",
            "telephone_number": "718-780-5716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-23",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "5503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.