NPPES file of Aug 9, 2026

Jeremy W. Jordan, PA

Physician Assistant · Riverside, CA

Jeremy W. Jordan, PA is a physician assistant with a practice address in Riverside, California, and NPI 1487378949, issued on Sep 28, 2022. Check the license with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1487378949
Name
Jeremy W. Jordan
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License number
0007579 CO
Self-reported in NPPES; status is on the state search
Practice location
11711 Collett Ave Apt 531, Riverside, CA 92505
Phone
(707) 540-3712
Enumerated
Sep 28, 2022
Record last updated
Sep 28, 2022
Medicare enrollment
Enrolled (PECOS I20221103002177); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Jeremy W. Jordan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Bills Medicare through one group practice

  1. Robert Marriott Medical CorpColorado Springs, CO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jeremy W. Jordan among 14,451 physician assistant records in California

Jeremy W. Jordan, PA is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 73% of them.

  • NPI issued2022 · 73% of these records are older, 20% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 50% of these records are
  • Graduated2022 · median 2018 among the 7,214 with a school on file
  • Record last updated2022 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

164 physician assistant records list a practice address in Riverside

They are 164 of the 13,893 NPPES records with a practice address in Riverside, and 14,451 physician assistant records in California.

The 8 physician assistant records with the nearest ZIP codes

  1. Bernard Del Rosario, PARiverside, CA 925051114086840
  2. Adriana Diaz, PARiverside, CA 925051467500314
  3. Lance Farr, PARiverside, CA 925051043368996
  4. Patrick Garza, P.A.-CRiverside, CA 925051487769212
  5. Ronald Jackson, PARiverside, CA 925051831247725
  6. Alicia Johnson, PARiverside, CA 925051366501082
  7. Amorsolo Ledina, PARiverside, CA 925051790844496
  8. Patrick Mc Gill, PARiverside, CA 925051003964958

Common questions

What is Jeremy W. Jordan, PA's NPI number?

Jeremy W. Jordan, PA's National Provider Identifier (NPI) is 1487378949, issued on Sep 28, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Jeremy W. Jordan, PA located?

The NPPES record lists a practice address at 11711 Collett Ave Apt 531, Riverside, CA, 92505. Phone: (707) 540-3712. Providers update this record themselves, so call before visiting.

How can I verify Jeremy W. Jordan, PA's license?

Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.