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JORDAN BLACK M.D. NPI 1245658210


NPI Information

NPI: 1245658210
Provider Name: JORDAN BLACK, M.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 W ARBOR DR
#8770
SAN DIEGO, CA
ZIP 92103
Phone: (619) 543-5297
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Jordan Black, M.D. is a student in an organized health care education training program in San Diego, CA with 10 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jordan Black, M.D. NPI is 1245658210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 W ARBOR DR
#8770
SAN DIEGO, CA
ZIP 92103-000
Phone: (619) 543-5297

The NPI 1245658210 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)
  • Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
  • Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:00731)
  • Anesthesia for procedure in upper abdomen including use of an endoscope (HCPCS:00790)

The enumeration date for this NPI number is 4/7/2014 and was last updated on 6/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training Program134186154NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.