JORDAN POURAN DANESHZADEH
NPI 1669139044
Physician Assistant in Henderson, NV

Q: What is Jordan Daneshzadeh's NPI number?

The NPI number for Jordan Daneshzadeh is 1669139044. It was assigned to this individual provider in the NPPES registry on November 20, 2021.

Q: What is Jordan Daneshzadeh's specialty?

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

Active since November 20, 2021PECOS Enrolled

870 SEVEN HILLS DR STE 103, HENDERSON, NV 89052(725) 777-0414(702) 565-5027 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Jul 30, 2022, Nov 20, 2021 (3 updates tracked since 2021).

On this page

About Jordan Pouran Daneshzadeh NPPES

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

JORDAN POURAN DANESHZADEH (NPI 1669139044) is an individual physician assistant in Henderson, Nevada, licensed in Nevada (PA3197) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669139044

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJORDAN POURAN DANESHZADEH

Location Address870 SEVEN HILLS DR STE 103Henderson, NV 89052-4378

Mailing Address870 Seven Hills Dr Ste 103Henderson, NV 89052-4378 · (725) 777-0414 · Fax (702) 565-5027

Phone(725) 777-0414

Fax(702) 565-5027

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 20, 2021

Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1669139044 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 NV · PA3197

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.

870 SEVEN HILLS DR STE 103, Henderson, NV 89052

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Pouran Daneshzadeh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426406430

PECOS Enrollment IDI20250725003000

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 11

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

CRISTINA YROZ APRN

Nurse Practitioner (Family)