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JORDAN MAURO MAITILASSO
NPI 1366914319
Student in an Organized Health Care Education/Training Program in Santee, CA

Active since December 31, 2018
10159 MISSION GORGE RD STE C, SANTEE, CA 92071(619) 579-0947(619) 588-6282 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2020, Dec 31, 2018 (2 updates tracked since 2018).

About Jordan Mauro Maitilasso NPPES

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

JORDAN MAURO MAITILASSO (NPI 1366914319) is an individual student in an organized health care education/training program in Santee, California and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1366914319
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN MAURO MAITILASSO
Location Address10159 MISSION GORGE RD STE CSantee, CA 92071-3857
Mailing Address625 Van Houten Ave Apt JEl Cajon, CA 92020-5184 · (619) 206-7131
Phone(619) 579-0947
Fax(619) 588-6282
Sole ProprietorNo
Enumeration DateDecember 31, 2018
Last NPPES UpdateAugust 10, 20202 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1366914319 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.
10159 MISSION GORGE RD STE C, Santee, CA 92071
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Other Providers at the Same Location NPPES 2

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

JOSEPH A RISI SUDRC
Counselor (Addiction (Substance Use Disorder))
10159 MISSION GORGE RD STE C
SANTEE, CA 92071
San Diego County (619) 579-0947
AXEL ALFONSO VEGA RODRIGUEZ
Case Manager/Care Coordinator
10159 MISSION GORGE RD STE C
SANTEE, CA 92071
San Diego County (619) 579-0947

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 Maitilasso's NPI number?

The NPI number for Jordan Maitilasso is 1366914319. It was assigned to this individual provider in the NPPES registry on December 31, 2018.

Where is Jordan Maitilasso located?

Jordan Maitilasso practices at 10159 Mission Gorge Rd Ste C, Santee, CA 92071. The listed phone number is (619) 579-0947.

What is Jordan Maitilasso'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 Maitilasso was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.