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JORDAN M USUNOV M D A PROFESSIONAL CORPORATION
NPI 1154511442
Ophthalmology in Tracy, CA

Active since August 01, 2007
1540 N TRACY BLVD, A, TRACY, CA 95376(209) 836-2223(209) 836-2530 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan M Usunov M D A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN M USUNOV M D A PROFESSIONAL CORPORATION (NPI 1154511442) is a healthcare organization registered as an ophthalmology in Tracy, California and active in the NPI registry since August 2007. The organization lists Jordan M Usunov, Md/doctor, as its authorized official.

NPPES Registry Identity

NPI1154511442
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameJORDAN M USUNOV M D A PROFESSIONAL CORPORATION
Location Address1540 N TRACY BLVD, ATracy, CA 95376-2530
Mailing Address1540 N Tracy Blvd, ATracy, CA 95376-2530 · (209) 836-2223 · Fax (209) 836-2530
Phone(209) 836-2223
Fax(209) 836-2530
Organization SubpartNo
Authorized OfficialJordan M UsunovMd/doctor · (209) 836-2223
Enumeration DateAugust 1, 2007
Last NPPES UpdateJanuary 23, 2013
✔ NPI 1154511442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1540 N TRACY BLVD, Tracy, CA 95376
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Other Identifiers 1

Medicare NSC0806900002CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAQAVI AND SOROUSHIAN DENTAL CORPORATION
Clinic/Center (Dental)
1540 N TRACY BLVD
TRACY, CA 95376
San Joaquin County (925) 876-4680
DR. JORDAN M USUNOV MD
Ophthalmology
1540 N TRACY BLVD, A
TRACY, CA 95376
San Joaquin County (209) 836-2223
DR. SHIRLEY JING YU ZHAO DDS
Dentist
1540 N TRACY BLVD
TRACY, CA 95376
San Joaquin County (415) 810-2302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan M Usunov M D A Professional Corporation's NPI number?

The NPI number for Jordan M Usunov M D A Professional Corporation is 1154511442. It was assigned to this organization in the NPPES registry on August 1, 2007.

Where is Jordan M Usunov M D A Professional Corporation located?

Jordan M Usunov M D A Professional Corporation is located at 1540 N Tracy Blvd A, Tracy, CA 95376. The listed phone number is (209) 836-2223.

What is Jordan M Usunov M D A Professional Corporation's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Jordan M Usunov M D A Professional Corporation was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.