Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Black, MD

Individual provider Anesthesiology Physician · NPI 1245658210

Jordan Black, MD is an Anesthesiology in San Diego, California. Qualified in 2014, 12 years ago. Practices with Gallatin Valley Anesthesia Associates PC, a 35-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
12
Licensed in
MT
In the registry since
2014
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

200 W Arbor Dr #8770
San Diego, CA 92103-9000
Phone: (619) 543-5297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 145506 (MT)

Record details

NPI number1245658210
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2014
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Gallatin Valley Anesthesia Associates Pc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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