Individual provider · Type 1 NPI

Tara Marie Jordan, MMS, PA-C

Physician Assistant · Castro Valley, CA

NPI number 1366795395 Active

Practice location

20055 Lake Chabot Rd, Suite 130
Castro Valley, CA 94546-5331

Call (510) 888-0657 Map

Mailing address

2125 Santa Clara Ave Apt J
Alameda, CA 94501-2812

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA22633 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366795395

Tara Marie Jordan, MMS, PA-C's National Provider Identifier is 1366795395, issued on Oct 15, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Castro Valley, CA. The record was last updated on Aug 13, 2014.