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DEJAH JORDAN
NPI 1386215796
Rehabilitation Practitioner in Concord, CA

Active since July 07, 2021
1200 CONCORD AVE STE 185, CONCORD, CA 94520(510) 268-8120 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2026, May 22, 2026, Jul 7, 2021 (3 updates tracked since 2021).

About Dejah Jordan NPPES

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

DEJAH JORDAN (NPI 1386215796) is an individual rehabilitation practitioner in Concord, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1386215796
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameDEJAH JORDAN
Location Address1200 CONCORD AVE STE 185Concord, CA 94520-5006
Mailing Address1200 Concord Ave Ste 185Concord, CA 94520-5006 · (510) 268-8120
Phone(510) 268-8120
Sole ProprietorNo
Enumeration DateJuly 7, 2021
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1386215796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedBehavior TechnicianTaxonomy 106S00000X
1200 CONCORD AVE STE 185, Concord, CA 94520
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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.

JESSICA QUINN
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Contra Costa County (510) 268-8120
SERENITY SARAH ELIAS
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Contra Costa County (510) 268-8120
ANGEL EMILIO GONZALEZ
Behavior Analyst
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Contra Costa County (323) 303-6078
BLAIRMARIE SIUMAFUAUTA MARTIN
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Contra Costa County (510) 268-8120
ANDRAWS DAWOOD
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Contra Costa County (650) 436-9503
HUNTER ENRIQUEZ
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Contra Costa County (323) 396-4855
KEANTH RACHOGAN
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Contra Costa County (510) 268-8120
MR. ALAN FABIAN POLANCO
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Contra Costa County (209) 843-8823

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 Dejah Jordan's NPI number?

The NPI number for Dejah Jordan is 1386215796. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Dejah Jordan located?

Dejah Jordan practices at 1200 Concord Ave Ste 185, Concord, CA 94520. The listed phone number is (510) 268-8120.

What is Dejah Jordan's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Dejah Jordan was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.