JORDAN PHAM DENTAL CORP (NPI# 1710205505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710205505 |
| Entity Type | Organization |
| Organization Name | JORDAN PHAM DENTAL CORP |
| Practice Address |
22521 Avenida Empresa Suite 102 Rancho Santa Margarita CA 92688 |
| Practice Telephone | 9498885665 |
| Practice Fax Number | 9498886835 |
| Mailing Telephone | 9498885665 |
| Mailing Fax Number | 9498886835 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |
| Authorized Official Name | CHRISTOPHER A JORDAN (OWNER/ DOCTOR) |
| Authorized Official Telephone | 9498885665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 51597 | CA | Managed Care Organizations |
| Street Address |
22521 AVENIDA EMPRESA SUITE 102 |
| City | RANCHO SANTA MARGARITA |
| State | CA |
| Zip Code | 92688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386409 | Julie Soria | Nurse Practitioner | 22032 El Paso, #130, Rancho Santa Margarita, CA 92688 | 2020-08-14 |
| 1639735368 | Ballard King Dental Partnership | Dentist | 29819 Santa Margarita Parkway, Suite #200, Rancho Santa Margarita, CA 92688 | 2019-05-17 |
| 1033774435 | Jenalie Michelle Mccollam | Counselor | 5 Calle Espolon, Rancho Santa Margarita, CA 92688 | 2019-05-01 |
| 1750825006 | Helen Schuppe | Speech-Language Pathologist | 5 Acorn Ridge, Rancho Santa Margarita, CA 92688 | 2016-12-06 |
| 1881054971 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 30505a Avenida De Las Flores, Santa Margarita Marketplace, Rancho Santa Margarita, CA 92688 | 2016-03-02 |
| 1043687247 | Christopher Chang | Chiropractor | 23252 Arroyo Vista, Rancho Santa Margarita, CA 92688 | 2015-08-24 |
| 1265721104 | Robert Edwin Meister | Dentist | 29881 Aventura, Ste F, Rancho Santa Margarita, CA 92688 | 2011-03-31 |
| 1295056190 | Galenix Pharmacy Inc | Pharmacy | 29851 Avetura, Ste J-1, Rancho Santa Margarita, CA 92688 | 2010-06-15 |
| 1336468370 | Susan Stivers | Counselor | 22431 Antonio Parkway, Suite B160-694, Rancho Santa Margarita, CA 92688 | 2010-05-28 |
| 1033354634 | Infant Developmental Services | Physical Therapist | 20 Arribo, Rancho Santa Margarita, CA 92688 | 2008-12-10 |
| Find all providers in zip 92688 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
| 1821553850 | Reginald Washington | Point of Service | 2733 Lemon Grove Ave, Lemon Grove, CA 91945-2938 | 2019-02-04 |
| 1417432246 | Access Multilingual Services, Inc. | Point of Service | 11041 Santa Monica Blvd, #813, Los Angeles, CA 90025-3523 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO SANTA MARGARITA |
| Zip Code | 92688 |
Please comment or provide details below to improve the information on JORDAN PHAM DENTAL CORP.
| 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.