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MRS. TARA MARIE JORDAN MMS, PA-C
NPI 1366795395
Physician Assistant in Castro Valley, CA

Active since October 15, 2012
20055 LAKE CHABOT RD, SUITE 130, CASTRO VALLEY, CA 94546(510) 888-0657 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Tara Marie Jordan Mms, Pa-c NPPES

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

MRS. TARA MARIE JORDAN MMS, PA-C (NPI 1366795395) is an individual physician assistant in Castro Valley, California, licensed in California (PA22633) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1366795395
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TARA MARIE JORDANCredential: MMS, PA-C
Location Address20055 LAKE CHABOT RD, SUITE 130Castro Valley, CA 94546-5331
Mailing Address2125 Santa Clara Ave Apt JAlameda, CA 94501-2812
Phone(510) 888-0657
Sole ProprietorNo
Enumeration DateOctober 15, 2012
Last NPPES UpdateAugust 13, 2014
✔ NPI 1366795395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA22633
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
20055 LAKE CHABOT RD, Castro Valley, CA 94546
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Other Providers at the Same Location NPPES 20

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

PACIFIC BRAIN & SPINE MED GRP INC
Neurological Surgery
20055 LAKE CHABOT RD, # 110
CASTRO VALLEY, CA 94546
Alameda County (510) 886-3138
DR. LAWRENCE DAVID DICKINSON MD
Neurological Surgery
20055 LAKE CHABOT RD, # 110
CASTRO VALLEY, CA 94546
Alameda County (510) 886-3138
WING CHIN M.D.
Internal Medicine
20055 LAKE CHABOT RD, #300
CASTRO VALLEY, CA 94546
Alameda County (510) 886-2311
RICARDO DA ROZA M.D.
Internal Medicine (Medical Oncology)
20055 LAKE CHABOT RD, #130
CASTRO VALLEY, CA 94546
Alameda County (510) 888-0657
CYNTHIA MAHONEY M.D.
Specialist
20055 LAKE CHABOT RD, 230
CASTRO VALLEY, CA 94546
Alameda County (510) 881-1490
UNIVERSITY HEALTHCARE ALLIANCE
Internal Medicine (Hematology & Oncology)
20055 LAKE CHABOT RD, SUITE 130
CASTRO VALLEY, CA 94546
Alameda County (510) 888-0657
ALLERGY CONSULTANTS MEDICAL GROUP INC
Allergy & Immunology (Allergy)
20055 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Alameda County (510) 537-0700
THOMAS R POWERS MD. INC
Psychiatric Hospital
20055 LAKE CHABOT RD, SUITE 350
CASTRO VALLEY, CA 94546
Alameda County (510) 889-0422

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 Tara Jordan's NPI number?

The NPI number for Tara Jordan is 1366795395. It was assigned to this individual provider in the NPPES registry on October 15, 2012.

Where is Tara Jordan located?

Tara Jordan practices at 20055 Lake Chabot Rd Suite 130, Castro Valley, CA 94546. The listed phone number is (510) 888-0657.

What is Tara Jordan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tara Jordan was last updated on August 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.