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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
401 Quarry Rd, Palo Alto, CA 943041419 | 6507235511 |
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 |
Street Address |
1195 W FREMONT AVE |
City | SUNNYVALE |
State | CA |
Zip Code | 94087-3832 |
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 |
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 Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
Find all providers with the same taxonomy |
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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.