JORDANMED HEALTH INC. NPI 1952911331

NPI Information

NPI: 1952911331
Provider Name: JORDANMED HEALTH, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2118162

Address:
7600 HOSPITAL DR STE J
SACRAMENTO, CA
ZIP 95823
Phone: (916) 525-2021
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JORDANMED HEALTH, INC. is a primary care clinic center in Sacramento, CA. JORDANMED HEALTH, INC. NPI is 1952911331. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7600 HOSPITAL DR STE J
SACRAMENTO, CA
ZIP 95823-406
Phone: (916) 525-2021

The provider's authorized official is Rebecca Jordan .
The authorized official title is Physician and has the following contact phone number (916) 525-2021.

The CLIA number assigned to this NPI record is 05D2118162 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2020 and was last updated on 7/31/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	207QA0401X	Family Medicine	Addiction Medicine	No
3	208D00000X	General Practice		No
4	261QP2300X	Clinic/Center	Primary Care	Yes

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

NPI Synchronization or Removal

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