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JORDAN DULAY ELLFELDT OD
NPI 1619547304
Optometrist in Newport Beach, CA

Active since June 25, 2021
320 SUPERIOR AVE STE 399, NEWPORT BEACH, CA 92663(949) 631-4780 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2022, Aug 5, 2021, Jul 15, 2021 and 1 more (4 updates tracked since 2021).

About Jordan Dulay Ellfeldt Od NPPES

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

JORDAN DULAY ELLFELDT OD (NPI 1619547304) is an individual optometrist in Newport Beach, California, licensed in California (OPT-34853-TLG) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1619547304
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJORDAN DULAY ELLFELDTCredential: OD
Location Address320 SUPERIOR AVE STE 399Newport Beach, CA 92663-2716
Mailing Address845 Paularino Ave Apt E227Costa Mesa, CA 92626-2937
Phone(949) 631-4780
Sole ProprietorYes
Enumeration DateJune 25, 2021
Last NPPES UpdateMay 26, 20224 updates tracked since enumeration
NPPES CertifiedMay 26, 2022
✔ NPI 1619547304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · OPT-34853-TLG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
320 SUPERIOR AVE STE 399, Newport Beach, CA 92663
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Dulay Ellfeldt Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jordan Ellfeldt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gregg Feinerman MD Inc.
Same address
Specialist
320 SUPERIOR AVE, SUITE 390
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Gregg Feinerman, M.D., Inc.
  • 5 clinicians in this Medicare group
NPI 1871665869 (949) 631-4780

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ellfeldt's NPI number?

The NPI number for Jordan Ellfeldt is 1619547304. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Jordan Ellfeldt located?

Jordan Ellfeldt practices at 320 Superior Ave Ste 399, Newport Beach, CA 92663. The listed phone number is (949) 631-4780.

What is Jordan Ellfeldt's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jordan Ellfeldt enrolled in Medicare?

Yes. Jordan Ellfeldt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Ellfeldt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Ellfeldt reassigns Medicare benefits to Gregg Feinerman MD Inc. (Newport Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Ellfeldt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Ellfeldt was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.