DR. STANLEY JORDAN (MD) – Nephrology Physician, NPI 1669432167
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,422 PEDIATRIC MEDICINE in CA
Provider Addresses for DR. STANLEY JORDAN (MD)
4140 W 190TH ST
TORRANCE, CA 905045513
Phone:
Type: Mailing
8900 BEVERLY BLVD FL 3
WEST HOLLYWOOD, CA 900482438
Phone: (310) 423-2641
Fax: (310) 423-0236
Type: Location
8700 BEVERLY BLD
LOS ANGELES, CA 900481865
Phone: (310) 423-2641
Fax: (310) 967-1800
Type: Location
Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico
LOS ANGELES, CA 900510717
Phone: (310) 423-2641
Fax: (310) 967-1800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $89,337.
Total Amount is formed as General ($89,337) + Research ($0) + Ownership ($0) = $89,337.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Regeneron Pharmaceuticals, Inc. ($25,915).
Total Amount
$89,337
General + Research + Ownership
Payments
36
Total payment records
General Amount
$89,337
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Pharmaceuticals, Inc. | $25,915 |
| CSL Behring | $21,889 |
| ARGENX US, INC. | $18,600 |
| Mallinckrodt Hospital Products Inc. | $15,259 |
| SANOFI-AVENTIS U.S. LLC | $4,496 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-05
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050405001459 | I | Pediatric Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 101 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 124 | 92 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 26 | 19 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 21 | 20 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 90504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), General Surgery | CA | |
| - | WA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Clinical Psychologist | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| General Surgery, Critical Care (Intensivists) | CA | |
| Internal Medicine | CA | |
| Plastic And Reconstructive Surgery | CA |
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