JORDAN SAMUEL
NPI 1366325649
Student in an Organized Health Care Education/Training Program in Colton, CA

Q: What is Jordan Samuel's NPI number?

The NPI number for Jordan Samuel is 1366325649. It was assigned to this individual provider in the NPPES registry on July 26, 2025.

Q: What is Jordan Samuel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Samuel was last updated on July 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 26, 2025

2291 LALIQUE CIR, COLTON, CA 92324(901) 734-3464 Get Directions Write a Review

NPPES record last updated: July 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jordan Samuel NPPES

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

JORDAN SAMUEL (NPI 1366325649) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1366325649

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJORDAN SAMUEL

Location Address2291 LALIQUE CIRColton, CA 92324-9242

Mailing Address2291 Lalique CirColton, CA 92324-9242 · (901) 734-3464

Phone(901) 734-3464

Sole ProprietorYes

Enumeration DateJuly 26, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1366325649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2291 LALIQUE CIR, Colton, CA 92324

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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 Samuel's NPI number?

The NPI number for Jordan Samuel is 1366325649. It was assigned to this individual provider in the NPPES registry on July 26, 2025.

Where is Jordan Samuel located?

Jordan Samuel practices at 2291 Lalique Cir, Colton, CA 92324. The listed phone number is (901) 734-3464.

What is Jordan Samuel'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 Samuel was last updated on July 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.