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JORDAN NATHAN MARTUCCI
NPI 1720660608
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 21, 2021PECOS Enrolled
1200 N STATE ST, CLINICAL TOWER, SUITE A7D, LOS ANGELES, CA 90089(310) 341-8422 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Apr 30, 2024, Apr 21, 2021 (3 updates tracked since 2021).

About Jordan Nathan Martucci NPPES

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

JORDAN NATHAN MARTUCCI (NPI 1720660608) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720660608
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN NATHAN MARTUCCI
Location Address1200 N STATE ST, CLINICAL TOWER, SUITE A7DLos Angeles, CA 90089-1001
Mailing Address1200 N State St, Clinical Tower, Suite A7dLos Angeles, CA 90089-1001
Phone(310) 341-8422
Sole ProprietorNo
Enumeration DateApril 21, 2021
Last NPPES UpdateDecember 30, 20243 updates tracked since enumeration
NPPES CertifiedMarch 27, 2021
✔ NPI 1720660608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST, Los Angeles, CA 90089
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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 Nathan Martucci is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. EISHA ANNE CHRISTIAN MD
Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Los Angeles County (323) 226-7421
LAURA MARIA VELEZ TURIZO MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7053
DR. CASSIDY BENDER MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (626) 825-4601
ARGEREY STAPAKIS
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-5707
ANH-THO ANTOINETTE THI NGUYEN
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (714) 309-6525
JESSICA HONG
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 226-7556
JOOYEON KIM
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 341-3128
MELISSA GRACE MYO MD
Obstetrics & Gynecology
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-6240

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 Martucci's NPI number?

The NPI number for Jordan Martucci is 1720660608. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Jordan Martucci located?

Jordan Martucci practices at 1200 N State St Clinical Tower, Suite A7d, Los Angeles, CA 90089. The listed phone number is (310) 341-8422.

What is Jordan Martucci's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Martucci enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Martucci was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.