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

Jordan Takeo Lilienstein

Individual provider Surgery Physician · NPI 1588997704

Jordan Takeo Lilienstein is a General Surgery in Fresno, California. Graduated from University of California, Davis School of Medicine in 2011, 15 years ago. Practices with Central California Faculty Medical Group Inc, a 254-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2009
Specialties on file
3
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Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 459-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence A124428 (CA)
Surgery Physician Taxonomy 208600000X · Licence A124428 (CA)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence A124428 (CA)

Record details

NPI number1588997704
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2009
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Central California Faculty Medical Group Inc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fresno