Tyler Quinn Jordan, EMT is a
Emergency Medicine - Emergency Medical Services physician based in San Juan Bautista, California. Tyler Quinn Jordan is licensed to practice in California (license number E196203) and his current practice location is Po Box 517, San Juan Bautista, California. He can be reached at his office (for appointments etc.) via phone at
(831) 673-9255.
NPI number for Tyler Quinn Jordan is 1770389660 and his current mailing address is Po Box 517, San Juan Bautista, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770389660.
Physician's Profile
| Full Name | Tyler Quinn Jordan |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine - Emergency Medical Services |
|---|
| Location | Po Box 517, San Juan Bautista, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770389660
- Provider Enumeration Date: 02/21/2025
- Last Update Date: 02/21/2025
Medical Identifiers
Medical identifiers for Tyler Quinn Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770389660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | E196203 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Quinn Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tyler Quinn Jordan, EMT
Po Box 517,
San Juan Bautista, CA 95045-0517
Ph: (831) 673-9255 | Tyler Quinn Jordan, EMT
Po Box 517,
San Juan Bautista, CA 95045-0517
Ph: (831) 673-9255 |
Reviews and Comments