MS. TONJA BENETTA JORDAN (NPI# 1619407483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619407483 |
| Entity Type | Individual |
| Full Name | MS. TONJA BENETTA JORDAN |
| Credential | REGISTERED NURSE |
| Practice Address |
5850 South Main St Los Angeles CA 90003 |
| Mailing Address |
5850 S Main St Los Angeles CA 90003-1215 |
| Practice Telephone | (323) 897-6079 |
| Practice Fax Number | 3232380210 |
| Mailing Telephone | 3238976079 |
| Mailing Fax Number | 3232380210 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
593258 | CA | Nursing Service Providers |
| Street Address |
5850 SOUTH MAIN ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780227207 | Herminia E Galvez | Counselor | 8005 S. Figueroa Street, Business, Los Angeles, CA 90003 | 2019-10-28 |
| 1720567548 | Banty Dental Corporation | Clinic/Center | 5971 S Main Street, Los Angeles, CA 90003 | 2018-08-13 |
| 1932623030 | Mireya Melendez | Case Manager/Care Coordinator | 5849 Crocker Street Unit L, Los Angeles, CA 90003 | 2017-07-31 |
| 1356865810 | Oscar Montes Jr. | Social Worker | 8220 San Pedro St., Los Angeles, CA 90003 | 2017-07-26 |
| 1194254581 | Janae Wilson Shepherd | Registered Nurse | 5850 S Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1649709049 | Eisha Eishawndra Purvis | Registered Nurse | 5850 S. Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1689022477 | Ladan Hariri | Psychiatry & Neurology | 1200 N.state St., Los Angeles, CA 90003 | 2016-06-02 |
| 1811330772 | David Chavez | Dental Assistant | 358 East 76st, Los Angeles, CA 90003 | 2013-04-10 |
| 1730421330 | University Muslim Medical Association, Inc. | Clinic/Center | 7821 S Avalon Blvd, Los Angeles, CA 90003 | 2013-03-21 |
| Find all providers in zip 90003 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780191353 | Raynard Sterling | Registered Nurse | 2161 Van Wick St, Los Angeles, CA 90047-4644 | 2018-01-04 |
| 1346767076 | David A Alvarez | Registered Nurse | 1200n. State St., Los Angeles, CA 90033 | 2017-08-24 |
| 1942723556 | Catherine Rabena | Registered Nurse | 2010 Zonal Ave # 3p22, Los Angeles, CA 90033-1026 | 2017-07-25 |
| 1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
| 1144742545 | Starla Evonne Le Fridge-wilson | Registered Nurse | 2010 Zonal Ave Fl 4, Los Angeles, CA 90033-1026 | 2017-07-07 |
| 1235651639 | Ana Maria Lastra | Registered Nurse | 2010 Zonal Ave # 5wopd, Los Angeles, CA 90033-1026 | 2017-07-07 |
| 1639690803 | Michelle Pittman | Registered Nurse | 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 | 2017-06-28 |
| 1568983773 | Debbie Sharon Gillett | Registered Nurse | 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 | 2017-06-28 |
| 1518487099 | Margarita Martires | Registered Nurse | 2829 S Grand Ave # 116, Los Angeles, CA 90007-3304 | 2017-06-26 |
| 1831619584 | Jennifer Castillo | Registered Nurse | 245 S Fetterly Ave Ofc, Los Angeles, CA 90022-1605 | 2017-06-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90003 |
Please comment or provide details below to improve the information on MS. TONJA BENETTA JORDAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.