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JORDAN GENDELMAN
NPI 1104164375
Student in an Organized Health Care Education/Training Program in Oceanside, CA

Active since January 23, 2013
1701 MISSION AVE STE A, OCEANSIDE, CA 92058(760) 967-4475 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Gendelman NPPES

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

JORDAN GENDELMAN (NPI 1104164375) is an individual student in an organized health care education/training program in Oceanside, California and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1104164375
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN GENDELMAN
Location Address1701 MISSION AVE STE AOceanside, CA 92058-7102
Mailing Address744 Cornish DrEncinitas, CA 92024-4514
Phone(760) 967-4475
Sole ProprietorYes
Enumeration DateJanuary 23, 2013
Last NPPES UpdateAugust 13, 2014
✔ NPI 1104164375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1701 MISSION AVE STE A, Oceanside, CA 92058
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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.

JOANNA LUISA QUEZADA
Licensed Vocational Nurse
1701 MISSION AVE STE A
OCEANSIDE, CA 92058
San Diego County (760) 212-4101
STAVROULA STELLA ALATZAS
Social Worker (Clinical)
1701 MISSION AVE STE A
OCEANSIDE, CA 92058
San Diego County (760) 967-4475
MS. DANIELLE ROSE LVN
Licensed Vocational Nurse
1701 MISSION AVE STE A
OCEANSIDE, CA 92058
San Diego County (760) 967-4475
MR. ALDRICH LINGAT MUTUC
Student in an Organized Health Care Education/Training Program
1701 MISSION AVE STE A
OCEANSIDE, CA 92058
San Diego County (760) 967-4475
MS. DIANA S JAMOUS IMF
Marriage & Family Therapist
1701 MISSION AVE STE A
OCEANSIDE, CA 92058
San Diego County (760) 967-4475
MISS DANIELLE BENAVIDES
Case Manager/Care Coordinator
1701 MISSION AVE STE A
OCEANSIDE, CA 92058
San Diego County (760) 967-4475

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 Gendelman's NPI number?

The NPI number for Jordan Gendelman is 1104164375. It was assigned to this individual provider in the NPPES registry on January 23, 2013.

Where is Jordan Gendelman located?

Jordan Gendelman practices at 1701 Mission Ave Ste A, Oceanside, CA 92058. The listed phone number is (760) 967-4475.

What is Jordan Gendelman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Gendelman was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.