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

Individual provider Physician Assistant · NPI 1417446717

Jordan Hauer-Laurencin, PA is a Physician Assistant in Walnut Creek, California. Qualified in 2018, 8 years ago. Practices with Stanford Health Care, a 3,085-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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

106 La Casa Via Ste 140
Walnut Creek, CA 94598-3084
Phone: (925) 274-2860
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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 55533 (CA)

Record details

NPI number1417446717
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 2, 2018
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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