DR. JORDAN BLANKENSHIP
NPI 1578874251
Psychologist - Clinical in San Diego, CA
About Dr. Jordan Blankenship NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDAN BLANKENSHIP (NPI 1578874251) is an individual clinical provider in San Diego, California, licensed in California (PSY28610) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jordan Blankenship is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jordan Blankenship reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chino, CA 91710
- Reassigned Medicare billing, California enrollment
- 52 clinicians in this Medicare group
Arcadia, CA 91006
- Reassigned Medicare billing, California enrollment
- 273 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92114
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 Blankenship's NPI number?
The NPI number for Jordan Blankenship is 1578874251. It was assigned to this individual provider in the NPPES registry on June 28, 2010.
Where is Jordan Blankenship located?
Jordan Blankenship practices at 286 Euclid Ave Suite 302, San Diego, CA 92114. The listed phone number is (619) 662-4100.
What is Jordan Blankenship's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jordan Blankenship enrolled in Medicare?
Yes. Jordan Blankenship is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jordan Blankenship's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Blankenship reassigns Medicare benefits to 2 organizations: Quest Health Management Psychological Corporation (Chino, CA) and Soultenders, Inc. (Arcadia, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Blankenship's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jordan Blankenship was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Jordan Blankenship · NPI 1578874251
Clinical provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 28, 2010.
## Identity
- **NPI:** 1578874251 (Entity type: Individual)
- **Enumerated:** June 28, 2010
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY28610 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 286 EUCLID AVE, SUITE 302, San Diego, CA 92114-3610
- **Phone:** (619) 662-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Quest Health Management Psychological Corporation (NPI 1245791490, Chino, CA); Soultenders, Inc. (NPI 1164617007, Arcadia, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1578874251) · Data from the CMS NPPES public registry.