1. Home
  2. Directory
  3. California
  4. Huntington Beach
  5. Counselor
  6. NPI Profile

JEREMIAH BLANDIN R1503810423
NPI 1053008946
Counselor - Addiction (Substance Use Disorder) in Huntington Beach, CA

Active since April 20, 2023
17822 BEACH BLVD STE 278, HUNTINGTON BEACH, CA 92647(714) 375-3795 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 11, 2025, Jul 7, 2023 (2 updates tracked since 2023).

About Jeremiah Blandin R1503810423 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMIAH BLANDIN R1503810423 (NPI 1053008946) is an individual addiction (substance use disorder) provider in Huntington Beach, California and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1053008946
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMIAH BLANDINCredential: R1503810423
Location Address17822 BEACH BLVD STE 278Huntington Beach, CA 92647-7180
Mailing Address17822 Beach Blvd Ste 278Huntington Beach, CA 92647-7180 · (714) 375-3795 · Fax (714) 375-3796
Phone(714) 375-3795
Sole ProprietorYes
Enumeration DateApril 20, 2023
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1053008946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
17822 BEACH BLVD STE 278, Huntington Beach, CA 92647
Open in Google Maps ↗

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LISA NAOMI GERSHMAN M.D.
Pediatrics
17822 BEACH BLVD STE 278
HUNTINGTON BEACH, CA 92647
Orange County (714) 842-1441
DR. NATALIA ZAPADINSKY M.D.
Pediatrics
17822 BEACH BLVD STE 278
HUNTINGTON BEACH, CA 92647
Orange County (714) 842-1441
MS. MARY DENISE WALTON LMFT
Marriage & Family Therapist
17822 BEACH BLVD STE 278
HUNTINGTON BEACH, CA 92647
Orange County (714) 718-2109
GENESIS NEW BEGINNING
Clinic/Center (Rehabilitation, Substance Use Disorder)
17822 BEACH BLVD STE 278
HUNTINGTON BEACH, CA 92647
Orange County (619) 277-1240
ALEJANDRA LUNA LCSW
Social Worker (Clinical)
17822 BEACH BLVD STE 278
HUNTINGTON BEACH, CA 92647
Orange County (805) 722-2832
MR. VINCENT D. DUNCAN RADT
Case Manager/Care Coordinator
17822 BEACH BLVD STE 278
HUNTINGTON BEACH, CA 92647
Orange County (714) 375-3795
CHRISTINA KATHLEEN GOMES AOD COUNSELOR
Counselor (Addiction (Substance Use Disorder))
17822 BEACH BLVD STE 278
HUNTINGTON BEACH, CA 92647
Orange County (714) 375-3795
KIANNA KALMES
Counselor (Mental Health)
17822 BEACH BLVD STE 278
HUNTINGTON BEACH, CA 92647
Orange County (714) 375-3795

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah Blandin's NPI number?

The NPI number for Jeremiah Blandin is 1053008946. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Jeremiah Blandin located?

Jeremiah Blandin practices at 17822 Beach Blvd Ste 278, Huntington Beach, CA 92647. The listed phone number is (714) 375-3795.

What is Jeremiah Blandin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeremiah Blandin was last updated on July 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.