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

Jordan Dale Black, PA

Individual provider Physician Assistant · NPI 1881421493

Jordan Dale Black, PA is a Physician Assistant in San Francisco, California. Qualified in 2024, 2 years ago. Practices with University Anesthesia Medical Group, a 404-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

505 Parnassus Ave # M917
San Francisco, CA 94143-2204
Phone: (415) 353-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 64942 (CA)

Record details

NPI number1881421493
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 17, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Anesthesia Medical Group — 404 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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