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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JORDAN ELIZABETH MANCUSO
NPI 1417876020
Student in an Organized Health Care Education/Training Program in El Sobrante, CA

Active since July 15, 2026
4892 SAN PABLO DAM RD, EL SOBRANTE, CA 94803(510) 222-3946 Get Directions Write a Review

NPPES record added: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 3, 2026, Jul 15, 2026 (2 updates tracked since 2026).

About Jordan Elizabeth Mancuso NPPES

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

JORDAN ELIZABETH MANCUSO (NPI 1417876020) is an individual student in an organized health care education/training program in El Sobrante, California and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1417876020
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN ELIZABETH MANCUSO
Location Address4892 SAN PABLO DAM RDEl Sobrante, CA 94803-3222
Mailing Address4892 San Pablo Dam RdEl Sobrante, CA 94803-3222
Phone(510) 222-3946
Sole ProprietorNo
Enumeration DateJuly 15, 2026
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1417876020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
4892 SAN PABLO DAM RD, El Sobrante, CA 94803
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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.

VANESSA COFRESI
Counselor
4892 SAN PABLO DAM RD
EL SOBRANTE, CA 94803
Contra Costa County (510) 236-0444
KHADIJA LANAE BRYANT
Day Training/Habilitation Specialist
4892 SAN PABLO DAM RD
EL SOBRANTE, CA 94803
Contra Costa County (510) 243-2360
GABRIELA RODRIGUEZ RUIZ
Marriage & Family Therapist
4892 SAN PABLO DAM RD
EL SOBRANTE, CA 94803
Contra Costa County (510) 222-3946
KENDALL ASHLYN ERBY
Day Training/Habilitation Specialist
4892 SAN PABLO DAM RD
EL SOBRANTE, CA 94803
Contra Costa County (510) 253-2360
ROXANA SELENE HANNAH
Day Training/Habilitation Specialist
4892 SAN PABLO DAM RD
EL SOBRANTE, CA 94803
Contra Costa County (510) 222-3946
MR. CONRAD JOSEPH CAMIT
Marriage & Family Therapist
4892 SAN PABLO DAM RD
EL SOBRANTE, CA 94803
Contra Costa County (510) 596-8127
RONALD ANTHONY YELDER JR.
Marriage & Family Therapist
4892 SAN PABLO DAM RD
EL SOBRANTE, CA 94803
Contra Costa County (510) 222-3946
CHANAE LAREN JOYNER-CANTY
Counselor (Mental Health)
4892 SAN PABLO DAM RD
EL SOBRANTE, CA 94803
Contra Costa County (510) 236-0444

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 Mancuso's NPI number?

The NPI number for Jordan Mancuso is 1417876020. It was assigned to this individual provider in the NPPES registry on July 15, 2026.

Where is Jordan Mancuso located?

Jordan Mancuso practices at 4892 San Pablo Dam Rd, El Sobrante, CA 94803. The listed phone number is (510) 222-3946.

What is Jordan Mancuso'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 Mancuso was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.