Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TARA MARIE JORDAN, MMS, PA-C
ActiveMRS. TARA MARIE JORDAN, MMS, PA-C is a Physician Assistant healthcare provider located in CASTRO VALLEY, California. NPI 1366795395 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CASTRO VALLEY, CA
Registration Details
- NPI Number
- 1366795395
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2012 (13.819829863493 yrs)
- Last Updated
- Aug 13, 2014
- License
-
PA22633 (CA)
Practice Information
- Address
-
20055 LAKE CHABOT RDSUITE 130CASTRO VALLEY, CA, 945465331Browse CA providers · Browse ZIP 94546
- Phone
- 5108880657
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CASTRO VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| ERIC S. BELLFORT | PA | 1073504403 |
| BARRY JOHN CLEMENTS | PA-C | 1952392177 |
| JASMINE M HALLORAN | PAC | 1124090162 |
| MS. VICTORIA A RIVERA | PA | 1194767111 |
| MICHELLE LAI WONG | PA-C | 1932201977 |
| MELISSA GORALKA | PA | 1891878740 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.