Diane Marie Jordan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC14413 Issued in CA

Practice address

1848 S Elena Ave
Suite D
Redondo Beach, CA 90277-5710

Phone

(310) 375-4039

Fax

(310) 375-5184

NPI assigned

Jul 31, 2007

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1972793347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 S ELENA AVE",
            "address_2": "SUITE D",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775710",
            "telephone_number": "310-375-4039",
            "fax_number": "310-375-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 S ELENA AVE",
            "address_2": "SUITE D",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775710",
            "telephone_number": "310-375-4039",
            "fax_number": "310-375-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julliette Jones
• Shannon Nicole Janet Jontz, L. AC.
• Vania L Jonusan
• Jordan Chiropractic Corp.
• David Joseph Jordan
• Jeff S Jordan, D.C.
• Kalayla Ashlei Jordan
• Robin W Josefsson, D.C.
• Kelly Ann Josephsen, PA
• Aarchan R Joshi, M.D.

• Chiropractor in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.