MR. JORDAN R CONGER (NPI# 1861925026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861925026 |
| Entity Type | Individual |
| Full Name | MR. JORDAN R CONGER |
| Credential | M.D. |
| Practice Address |
850 Health Sciences Rd Irvine CA 92697-2051 |
| Mailing Address |
850 Health Sciences Rd Irvine CA 92697 |
| Practice Telephone | 8589458686 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2018-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 850 Health Sciences Rd, Irvine, CA 926972051 | 8589458686 |
| Street Address |
850 HEALTH SCIENCES RD |
| City | IRVINE |
| State | CA |
| Zip Code | 92697-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292257 | Jeremiah Tao | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92697-4375 | 2005-08-15 |
| 1164913539 | Mohammad Riazi Esfahani | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2018-05-22 |
| 1699126425 | Aman Mittal | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2016-06-22 |
| 1104251222 | Gavin Herbert Eye Institute | Optometrist | 850 Health Sciences Rd, Irvine, CA 92697-0001 | 2013-09-09 |
| 1942635313 | Gavin Herbert Eye Institute | Technician/Technologist | 850 Health Sciences Rd, Irvine, CA 92697-0001 | 2013-09-04 |
| 1609116474 | Sidharth Puri | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92697 | 2013-02-15 |
| 1346501137 | Kevin Jwo | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2012-06-07 |
| 1841550217 | Sean Tsao | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2012-05-20 |
| 1003101874 | Grace L. Kim | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92697-4375 | 2011-06-09 |
| 1912224809 | Christine F. Lin | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92697-0001 | 2010-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174001507 | Melanie Bernus Tallakson | Nurse Practitioner | 1100 Gottschalk Medical Plaza, Irvine, CA 92697 | 2018-07-28 |
| 1134514888 | Jessica Shiu | Dermatology | 118 Medical Surge 1, Irvine, CA 92697 | 2015-03-31 |
| 1649513508 | Melissa Shive | Dermatology | Uci Dermatology 1 Medical Plaza Drive, Irvine, CA 92697 | 2013-03-29 |
| 1760740526 | Adam Mason | Anesthesiology | 101 The City Dr. S., Uci Department of Anesthesiology, Anaheim, CA 92697 | 2012-04-30 |
| 1295966489 | Thu Michelle Tran | Nurse Practitioner | C240 Medical Science I, Uci Infusion Center, Irvine, CA 92697 | 2009-08-05 |
| 1760667554 | Catherine Marie Mcadams-ortiz | Nurse Practitioner | 1100 Gottschalk Medical Plaza Drive, University of California, Irvine, Irvine, CA 92697 | 2007-12-31 |
| 1386767630 | Gary W Cole | Dermatology | Dept. of Dermatology, Univ. of Calif., Irvine, Medical Sciences 1, Rm C340, Irvine, CA 92697 | 2007-04-09 |
| 1982729786 | Helen C. Tseng | Ophthalmology | 118 Med Surge 1 Attn Karen Tighe, Uc Irvine, Dept of Ophthalmology, Irvine, CA 92697 | 2007-03-20 |
| 1710065453 | Ronald Kurtz | Ophthalmology | 118 Med Surge 1, University of California, Irvine, Irvine, CA 92697 | 2006-11-01 |
| 1871509026 | Vivien Chan | Psychiatry & Neurology | 501 Student Health, Irvine, CA 92697 | 2006-07-31 |
| Find all providers in zip 92697 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387084 | Kaitlyn Park | Student in an Organized Health Care Education/Training Program | 111 Treasure, Irvine, CA 92602-1810 | 2020-08-18 |
| 1356966972 | Kristin Nguyen | Student in an Organized Health Care Education/Training Program | 7 Primavera, Irvine, CA 92614-5313 | 2020-06-09 |
| 1245869023 | Harinee Jaganiyaa Maiyuran | Student in an Organized Health Care Education/Training Program | 41 Millgrove, Irvine, CA 92602-0121 | 2020-04-03 |
| 1457989626 | Jessica Ma | Student in an Organized Health Care Education/Training Program | 38 Malibu, Irvine, CA 92602-1037 | 2020-04-01 |
| 1316575483 | Jasmine Santos | Student in an Organized Health Care Education/Training Program | 2 Rosenblum, Irvine, CA 92602-2406 | 2020-04-01 |
| 1790313500 | Pooja Selvan | Student in an Organized Health Care Education/Training Program | 18962 Racine Dr, Irvine, CA 92603-3315 | 2020-03-28 |
| 1902461189 | Kristine Nguyen | Student in an Organized Health Care Education/Training Program | 56 Linhaven, Irvine, CA 92602-0783 | 2019-05-03 |
| 1588229991 | Ha Huynh | Student in an Organized Health Care Education/Training Program | 2501 Alton Pkwy Unit 2451, Irvine, CA 92606-4854 | 2019-05-01 |
| 1154802395 | Martha Kabasiita Sebina | Student in an Organized Health Care Education/Training Program | 13 Austin, Irvine, CA 92604-2549 | 2018-08-26 |
| 1972092674 | Kevin Kwangbin Yoon | Student in an Organized Health Care Education/Training Program | 74 Rosenblum, Irvine, CA 92602-2405 | 2018-05-08 |
| Find all providers in IRVINE | ||||
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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.