DR. JORDAN WILLIAM TALL MD
NPI 1720877996
Student in an Organized Health Care Education/Training Program in Sacramento, CA
About Dr. Jordan William Tall Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDAN WILLIAM TALL MD (NPI 1720877996) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jordan William Tall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
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 Tall's NPI number?
The NPI number for Jordan Tall is 1720877996. It was assigned to this individual provider in the NPPES registry on May 5, 2025.
Where is Jordan Tall located?
Jordan Tall practices at 1201 Alhambra Blvd Ste 300, Sacramento, CA 95816. The listed phone number is (916) 731-7866.
What is Jordan Tall'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 Tall enrolled in Medicare?
Yes. Jordan Tall is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jordan Tall was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
