MRS. JORDAN MARIE SANTOS
NPI 1083122022
Speech-Language Pathologist in Sacramento, CA

Active since January 11, 2018
1625 STOCKTON BLVD STE 103, SACRAMENTO, CA 95816(916) 262-9040(916) 262-9043 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 11, 2022, Oct 23, 2019, Jan 11, 2018 (3 updates tracked since 2018).

About Mrs. Jordan Marie Santos NPPES

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

MRS. JORDAN MARIE SANTOS (NPI 1083122022) is an individual speech-language pathologist provider in Sacramento, California and active in the NPI registry since January 2018. She maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1083122022
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. JORDAN MARIE SANTOS
Location Address1625 STOCKTON BLVD STE 103Sacramento, CA 95816-7098
Mailing Address7300 N Fresno StFresno, CA 93720-2941 · (800) 470-0071
Fax(916) 262-9043
Sole ProprietorNo
Enumeration DateJanuary 11, 2018
Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration
✔ NPI 1083122022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1625 STOCKTON BLVD STE 103, Sacramento, CA 95816

Other Names 1

Other Name (5)Miss Jordan Marie Celaya

Secondary Practice Location 1

Location 16155 N Figarden Dr Apt 203Fresno, CA 93722-7948 · Phone (559) 903-6859

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jordan Marie Santos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jordan Santos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

Speech-Language Pathologist
1625 STOCKTON BLVD STE 103
SACRAMENTO, CA 95816
Occupational Therapist
1625 STOCKTON BLVD STE 103
SACRAMENTO, CA 95816
Physical Therapist
1625 STOCKTON BLVD STE 103
SACRAMENTO, CA 95816
Physical Therapist (Pediatrics)
1625 STOCKTON BLVD STE 103
SACRAMENTO, CA 95816
Speech-Language Pathologist
1625 STOCKTON BLVD STE 103
SACRAMENTO, CA 95816
Speech-Language Pathologist
1625 STOCKTON BLVD STE 103
SACRAMENTO, CA 95816

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 Jordan Santos's NPI number?

The NPI number for Jordan Santos is 1083122022. It was assigned to this individual provider in the NPPES registry on January 11, 2018. The provider is also known as Miss Jordan Marie Celaya.

Where is Jordan Santos located?

Jordan Santos practices at 1625 Stockton Blvd Ste 103, Sacramento, CA 95816. The listed phone number is (916) 262-9040.

What is Jordan Santos's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jordan Santos enrolled in Medicare?

Yes. Jordan Santos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Santos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Santos reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Santos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Santos was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.