JORDAN AMBROSE JEREMIAH
NPI 1104502467
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since June 22, 2023
4063 WHITTIER BLVD STE 202, LOS ANGELES, CA 90023(323) 268-2100 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Ambrose Jeremiah NPPES

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

JORDAN AMBROSE JEREMIAH (NPI 1104502467) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1104502467
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN AMBROSE JEREMIAH
Location Address4063 WHITTIER BLVD STE 202Los Angeles, CA 90023-2536
Mailing Address14308 Ohio StBaldwin Park, CA 91706-2553 · (626) 838-4805
Sole ProprietorYes
Enumeration DateJune 22, 2023
NPPES CertifiedJune 22, 2023
NPI 1104502467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4063 WHITTIER BLVD STE 202, Los Angeles, CA 90023

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
4063 WHITTIER BLVD STE 202
LOS ANGELES, CA 90023
Social Worker (Clinical)
4063 WHITTIER BLVD STE 202
LOS ANGELES, CA 90023
Social Worker
4063 WHITTIER BLVD STE 202
LOS ANGELES, CA 90023
Counselor (Mental Health)
4063 WHITTIER BLVD STE 202
LOS ANGELES, CA 90023
Community Health Worker
4063 WHITTIER BLVD STE 202
LOS ANGELES, CA 90023
Rehabilitation Practitioner
4063 WHITTIER BLVD STE 202
LOS ANGELES, CA 90023
Community Health Worker
4063 WHITTIER BLVD STE 202
LOS ANGELES, CA 90023

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 Jeremiah's NPI number?

The NPI number for Jordan Jeremiah is 1104502467. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Jordan Jeremiah located?

Jordan Jeremiah practices at 4063 Whittier Blvd Ste 202, Los Angeles, CA 90023. The listed phone number is (323) 268-2100.

What is Jordan Jeremiah'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 Jeremiah was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.