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MR. JAZZ-PATRICK VERTRELL BORDEAUX
NPI 1124990197
Day Training/Habilitation Specialist in Culver City, CA

Active since September 19, 2025
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612(310) 398-5690 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jazz-patrick Vertrell Bordeaux NPPES

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

MR. JAZZ-PATRICK VERTRELL BORDEAUX (NPI 1124990197) is an individual day training/habilitation specialist in Culver City, California and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1124990197
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameMR. JAZZ-PATRICK VERTRELL BORDEAUX
Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820
Mailing Address1007 Myrtle AveInglewood, CA 90301-4009
Phone(310) 390-6612
Fax(310) 398-5690
Sole ProprietorNo
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
✔ NPI 1124990197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
4760 SEPULVEDA BLVD, Culver City, CA 90230
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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.

VERONICA FUENTES
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ANDREW R MILLER MFT
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
PAUL SMITH MSW, ACSW
Social Worker
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
CHELSEA DAWN GILBERT M.A.
Student in an Organized Health Care Education/Training Program
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5344
RASHAUNA FAIR
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
KIMBERLY OROZCO
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ALFREDIA RAYNESHIA CHRISTOPHE
Day Training/Habilitation Specialist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
JESSICA AYALA
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5470

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 Jazz-patrick Bordeaux's NPI number?

The NPI number for Jazz-patrick Bordeaux is 1124990197. It was assigned to this individual provider in the NPPES registry on September 19, 2025.

Where is Jazz-patrick Bordeaux located?

Jazz-patrick Bordeaux practices at 4760 Sepulveda Blvd, Culver City, CA 90230. The listed phone number is (310) 390-6612.

What is Jazz-patrick Bordeaux's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Jazz-patrick Bordeaux was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.