JORDAN LARSSON
NPI 1124882782
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since February 13, 2024
4610 X ST, SACRAMENTO, CA 95817(209) 717-9628 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Larsson NPPES

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

JORDAN LARSSON (NPI 1124882782) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1124882782
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN LARSSON
Location Address4610 X STSacramento, CA 95817-2200
Mailing Address4610 X StSacramento, CA 95817-2200 · (209) 717-9628
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
NPI 1124882782 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.
4610 X ST, Sacramento, CA 95817

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Emergency Medicine
4610 X ST
SACRAMENTO, CA 95817
Specialist
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817

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 Larsson's NPI number?

The NPI number for Jordan Larsson is 1124882782. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Jordan Larsson located?

Jordan Larsson practices at 4610 X St, Sacramento, CA 95817. The listed phone number is (209) 717-9628.

What is Jordan Larsson'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 Larsson was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.