Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jordan John Michelena, MD

Individual provider General Practice Physician · NPI 1396891057

Dr. Jordan John Michelena, MD is a General Practice in Los Angeles, California. Graduated from Creighton University School of Medicine in 2006, 20 years ago. Practices with Henry Mayo Newhall Clinics LLC, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
Creighton University School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4477 Whittier Blvd
Los Angeles, CA 90022-1535
Phone: (323) 264-2890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A101937 (CA)

Record details

NPI number1396891057
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2007
Last updated in NPPESAugust 19, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Henry Mayo Newhall Clinics Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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