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

Jordan Douglas Sanders, AG-ACNP

Individual provider Critical Care Medicine Registered Nurse · NPI 1619709805

Jordan Douglas Sanders, AG-ACNP is a Nurse Practitioner in Santa Maria, California. Qualified in 2024, 2 years ago. Practices with Pacific Central Coast Health Centers, a 250-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1510 E Main St Ste 104C
Santa Maria, CA 93454-4825
Phone: (805) 928-5767
Fax: (805) 349-0222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 Pine St, Abilene, TX 79601-2432 — (412) 371-9133

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95034111 (CA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 95211424 (CA)

Record details

NPI number1619709805
Entity typeIndividual (Type 1)
GenderMale
Credentials AG-ACNP
Sole proprietorYes
NPI enumeratedAugust 15, 2024
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pacific Central Coast Health Centers — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Maria