Jordan Charles Jacob Moniz

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

D5996943 Issued in CA

Practice address

3555 Aurburn Blvd
Sacramento, CA 95821-9582

Phone

(916) 482-2370

NPI assigned

Jul 18, 2011

Last updated

Jul 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1932497435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 AURBURN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958219582",
            "telephone_number": "916-482-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 AURBURN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958219582",
            "telephone_number": "916-482-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIZ",
        "first_name": "JORDAN",
        "middle_name": "CHARLES JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "D5996943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Crooks, DDS, Inc
• Monice Kwok, M.D., Inc. (american river internal medicine associates)
• Gabriela Monico
• Monique Vandenbos Marriage Family Therapist Inc.
• Grace Fortes Monis, MD, PHD
• Arta Monir Monjazeb, M.D., PH.D.
• Makayla Monks
• Regina Monnat, R.D.
• Valerie M Monnier
• Natalea N/a Monreal

• Case Manager/Care Coordinator in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.