Jordan A Johnson (NPI# 1063941359, PAC ID# 7911266069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063941359 |
| PAC ID by PECOS | 7911266069 |
| Professional Enrollment ID | I20180117001755 |
| Full Name | Jordan A Johnson |
| Organization Legal Name | ORANGE ORTHOPEDIC MEDICA GP, INC. THE PROVIDENCE BLDG |
| Address |
1310 W Stewart Dr Suite 410 Orange CA 92868-3855 |
| Phone Number | 7145388549 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2961441852 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050069 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3855 | 7145388549 | ORANGE ORTHOPEDIC MEDICA GP, INC. THE PROVIDENCE BLDG |
| Organization Legal Name | ORANGE ORTHOPEDIC MEDICA GP, INC. THE PROVIDENCE BLDG |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Milton Legome | Orthopedic Surgery | Orange Orthopedic Medica Gp, Inc. The Providence Bldg | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3855 |
| Ayaz A Biviji | Orthopedic Surgery | Orange Orthopedic Medica Gp, Inc. The Providence Bldg | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3855 |
| Eric V Guevara | Physician Assistant | Orange Orthopedic Medica Gp, Inc. The Providence Bldg | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3855 |
| Paul A Beck | Orthopedic Surgery | Orange Orthopedic Medica Gp, Inc. The Providence Bldg | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3855 |
| Kevin Triggs | Orthopedic Surgery | Orange Orthopedic Medica Gp, Inc. The Providence Bldg | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3855 |
| Eric Lee | Orthopedic Surgery | Orange Orthopedic Medica Gp, Inc. The Providence Bldg | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3855 |
| Nikita Bezrukov | Orthopedic Surgery | Orange Orthopedic Medica Gp, Inc. The Providence Bldg | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3855 |
| Street Address |
1310 W STEWART DR SUITE 410 |
| City | ORANGE |
| State | CA |
| Zip | 92868-3855 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Milton Legome | Orthopedic Surgery | Orange Orthopedic Medica Gp, Inc. The Providence Bldg | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3855 |
| Ayaz A Biviji | Orthopedic Surgery | Orange Orthopedic Medica Gp, Inc. The Providence Bldg | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3855 |
| Michael Tran | Endocrinology | 1310 W Stewart Dr, Suite 215, Orange, CA 92868-3823 | |
| Ashok J Kar | Urology | 1310 W Stewart Dr, Suite 402, Orange, CA 92868-3855 | |
| Edward S Lee | Otolaryngology | Entrust Medical Corporation | 1310 W Stewart Dr, Suite 502, Orange, CA 92868-3856 |
| Yong Chua | Physician Assistant | Orange County Thoracic and Cardiovascular Surgeons A Med Corp | 1310 W Stewart Dr, Suite 503, Orange, CA 92868-3856 |
| Samuel R Rosenfeld | Orthopedic Surgery | Adult and Pediatric Orthopaedic Specialists A Medical Group Inc | 1310 W Stewart Dr, Suite 508, Orange, CA 92868-3856 |
| Eric V Guevara | Physician Assistant | Orange Orthopedic Medica Gp, Inc. The Providence Bldg | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3855 |
| Robert Del Junco | Otolaryngology | Entrust Medical Corporation | 1310 W Stewart Dr, Suite 502, Orange, CA 92868-3856 |
| Joon Y Choi | Plastic and Reconstructive Surgery | 1310 W Stewart Dr, Suite 606, Orange, CA 92868-3857 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kauser V Sharieff | Optometry | 20 The Citydrive W, Suite 919, Orange, CA 92868 | |
| Feraidoun Khonsari | Urology | 1140 W La Veta, Suite 605, Orange, CA 92868 | |
| Eriny Ibrahim | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Allan Kwok | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Celeste T Vergara | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Robert Bax | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| Alison Grace Ramos | Physical Therapy | Southern California Permanente Medical Group | 4201 W Chapman Ave, Orange, CA 92868-1505 |
| April A Lopez | Chiropractic | 2029 W Orangewood Ave, Suite A, Orange, CA 92868-1951 | |
| Barry L Marks | Chiropractic | 1745 W Orangewood Ave, Suite 114, Orange, CA 92868-2041 | |
| Bernard Wasserman | Clinical Social Worker | 1745 W Orangewood, Suite 101, Orange, CA 92868-2041 | |
| Find all physicians in zip 92868 | |||
| City | ORANGE |
| Zip Code | 92868 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ORANGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jordan A Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.