DR. TRACY JORDAN


Address: 1195 W Fremont Ave, Sunnyvale, CA 94087-3832
Phone: 4084265590

DR. TRACY JORDAN (NPI# 1700428737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700428737
Entity Type Individual
Full Name DR. TRACY JORDAN
Other Name TRACY VARGO
Credential PHD
Practice Address 1195 W Fremont Ave
Sunnyvale
CA 94087-3832
Mailing Address 88 Church St
Mountain View
CA 94041-2356
Practice Telephone 4084265590
Mailing Telephone 4085153446
Enumeration Date 2019-10-10
Last Update Date 2019-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
401 Quarry Rd, Palo Alto, CA 943041419 6507235511

Other Providers TRACY JORDAN

NPI Name Taxonomy Address Enumeration
1265726319 Tracy Jordan Pharmacist 1845 Grandstand Pl Ste 300, Genoa Healthcare 106, Elgin, IL 60123-4987 2011-06-07
1063880664 Tracy A. Jordan Counselor 2711 W 15th St, Panama City, FL 32401-1366 2015-09-13
1205176708 Tracy Denice Jordan Dental Assistant 3101 Burnet Ave, Cincinnati, OH 45229-3014 2013-02-20
1487926671 Tracy Minchew Jordan Nurse Practitioner 2104 Loop Rd, Suite C, Winnsboro, LA 71295-3338 2012-02-02
1366503518 Tracy W Jordan Physical Therapist 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 2006-12-12
1770672297 Tracy Jordan Social Worker 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 2006-10-12

Office Location

Street Address 1195 W FREMONT AVE
City SUNNYVALE
State CA
Zip Code 94087-3832

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578876199 Jie Deng Obstetrics & Gynecology 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 2010-07-24
1205390655 Rachel Sara Christensen Physical Medicine & Rehabilitation 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 2019-01-29
1366906109 Sarah Constance Harris Nurse Practitioner 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 2019-01-25
1376023721 Salinda Chan Physical Therapist 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 2018-08-15
1174047815 Derek Lee Miles Physical Therapist 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 2017-08-02
1275827404 Derek Chu Dermatology 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 2011-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417597642 Care Comfort Cure A Professional Corporation Acupuncturist 877 W Fremont Ave, Ste. I-3, Sunnyvale, CA 94087 2020-01-15
1629632658 Amy Valentine Social Worker Stanford Children's Health Specialty Clinics, 1195 West Fremont Ave, Sunnyvale, CA 94087 2019-04-25
1144707043 Fremont Union High School District Community/Behavioral Health 591 W Fremont Ave, Sunnyvale, CA 94087 2018-07-24
1245737170 Bintu Baby Nurse Practitioner 576 E El Camino Real # 9700, Sunnyvale, CA 94087 2018-04-08
1619484094 Jenny Giang Pharmacist 103 El Camino Real, Sunnyvale, CA 94087 2018-01-06
1073042347 Melvin James Ezaki Pharmacist 1165 W. El Camino Real, Sunnyvale, CA 94087 2017-06-08
1053862466 Wei Wang Acupuncturist 500 E Remington Dr. #25, Sunnyvale, CA 94087 2016-10-20
1083164016 Greenschema Inc. Marriage & Family Therapist 575 Dunholmeway, Sunnyvale, CA 94087 2016-10-13
1558718106 Neta Shani Acupuncturist 500e Remington Dr #25, Sunnyvale, CA 94087 2016-05-24
1396113635 Megan M Kolda Counselor 814 Mulberry Ln, Sunnyvale, CA 94087 2015-09-03
Find all providers in zip 94087

Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124631312 Kathleen Carroll-wray Psychologist 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 2020-08-26
1568082113 Laura Adery Psychologist 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 2020-04-23
1073148938 Kristine Fleming Psychologist 4309 Campbell Dr, Pittsburg, CA 94565-6017 2020-03-11
1730711375 Benjamin Alpert, Psyd, A Psychological Corporation Psychologist 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 2020-02-11
1073144010 Melissa Alexis Ramirez Psychologist 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 2020-01-29
1063042851 Making A Difference Association, Inc. Psychologist 1430 E Cooley Drive, Ste 111, Colton, CA 92324 2020-01-21
1184264533 New Vision Counseling Center Psychologist 8050 La Mesa Blvd, La Mesa, CA 91942-0335 2020-01-14
1235778614 Jessica Herbold Psychologist 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 2020-01-02
1003478405 Melissa Berrenge-browde Psychologist 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 2019-07-05
1811555840 Rebecca Cole Psychologist 5149 High Meadow Court, Fremont, CA 94536 2019-06-04
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Competitor

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City SUNNYVALE
Zip Code 94087

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Dataset Information

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.

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