Naitte P Jordan (NPI# 1346223757, PAC ID# 8123087087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1346223757 |
| PAC ID by PECOS | 8123087087 |
| Professional Enrollment ID | I20041006000847 |
| Full Name | Naitte P Jordan |
| Organization Legal Name | CENTRAL CALIFORNIA BARIATRIC SURGERY A MEDICAL CORPORATION |
| Address |
1552 Coffee Rd Suite 200 Modesto CA 95355-3122 |
| Phone Number | 2092487168 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1976 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547289423 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050335 | ADVENTIST HEALTH SONORA |
| Address | Phone | Organization |
|---|---|---|
| 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 | 2092487168 | CENTRAL CALIFORNIA BARIATRIC SURGERY A MEDICAL CORPORATION |
| Organization Legal Name | CENTRAL CALIFORNIA BARIATRIC SURGERY A MEDICAL CORPORATION |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick James Coates | General Surgery | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Matthew J Coates | General Surgery | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Prudence M Ticknor | Registered Dietitian Or Nutrition Professional | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Monica R Marple | Physician Assistant | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Antonio K Coirin | General Surgery | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Neasha D Mcmeo | Nurse Practitioner | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Felicia M Agibi | Psychologist, Clinical | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Tinu Xavier | Nurse Practitioner | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Tyler J Soga | Nurse Practitioner | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Carol Kraft | Registered Dietitian Or Nutrition Professional | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Street Address |
1552 COFFEE RD SUITE 200 |
| City | MODESTO |
| State | CA |
| Zip | 95355-3122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick James Coates | General Surgery | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Matthew J Coates | General Surgery | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Prudence M Ticknor | Registered Dietitian Or Nutrition Professional | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Matthew L Tilstra | Obstetrics/gynecology | Hera Obgyn Medical Group Inc | 1552 Coffee Rd, Modesto, CA 95355-3122 |
| Monica R Marple | Physician Assistant | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Antonio K Coirin | General Surgery | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Neasha D Mcmeo | Nurse Practitioner | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Stephen Kao Liu | Diagnostic Radiology | Stephen K Liu Md Professional Corporation | 1552 Coffee Rd, Modesto, CA 95355-3122 |
| Felicia M Agibi | Psychologist, Clinical | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Tinu Xavier | Nurse Practitioner | Central California Bariatric Surgery A Medical Corporation | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naihsien D Chen | Internal Medicine | 1303 Mable Ave, Modesto, CA 95355-1119 | |
| Greg A Vigna | Physical Medicine and Rehabilitation | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| David D Nisley | Physician Assistant | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| Patrick N Rhoades | Physical Medicine and Rehabilitation | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | |
| Sandhya Ravichandran | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 |
| L Edward Elliott | Optometry | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr | 3601 Coffee Rd, Modesto, CA 95355-1161 |
| Mutahir U Khan | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Rajesh Kumar Dubey | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Kent Hon-wah Wong | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Joydev Acharya | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Find all physicians in zip 95355 | |||
| City | MODESTO |
| Zip Code | 95355 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MODESTO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Naitte P Jordan.
| 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.