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ROLLIE JORDAN III
NPI 1376115477
Peer Specialist in Los Angeles, CA

Active since July 16, 2021
3125 N BROADWAY, LOS ANGELES, CA 90031(213) 482-6400 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rollie Jordan Iii NPPES

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

ROLLIE JORDAN III (NPI 1376115477) is an individual peer specialist in Los Angeles, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1376115477
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameROLLIE JORDAN III
Location Address3125 N BROADWAYLos Angeles, CA 90031-2703
Mailing Address3125 N BroadwayLos Angeles, CA 90031-2703 · (213) 482-6400
Phone(213) 482-6400
Sole ProprietorNo
Enumeration DateJuly 16, 2021
NPPES CertifiedJuly 16, 2021
✔ NPI 1376115477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3125 N BROADWAY, Los Angeles, CA 90031
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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.

ARIANA GARCIA
Counselor
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
MRS. KARLA P. CARBAJAL INTERN
Rehabilitation Practitioner
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 560-8847
EBONIE FONG
Licensed Vocational Nurse
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
EDDIE BOQUILLA
Rehabilitation Practitioner
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 222-4591
ORVILLE O DEVLUGT
Rehabilitation Practitioner
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 222-4591
ALEXIS MACKENZIE ORENS LCSW
Social Worker (Clinical)
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
TIANA MILLER
Case Manager/Care Coordinator
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
SARINA SITY
Social Worker (Clinical)
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (818) 880-7971

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 Rollie Jordan's NPI number?

The NPI number for Rollie Jordan is 1376115477. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Rollie Jordan located?

Rollie Jordan practices at 3125 N Broadway, Los Angeles, CA 90031. The listed phone number is (213) 482-6400.

What is Rollie Jordan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Rollie Jordan was last updated on July 16, 2021. 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.