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JUSTIN JORDAN RICHARDSON
NPI 1609554963
Day Training/Habilitation Specialist in Los Angeles, CA

Active since July 07, 2023
12021 WILMINGTON AVE STE 2B, LOS ANGELES, CA 90059(310) 221-6336 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 19, 2025, Jul 7, 2023 (2 updates tracked since 2023).

About Justin Jordan Richardson NPPES

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

JUSTIN JORDAN RICHARDSON (NPI 1609554963) is an individual day training/habilitation specialist in Los Angeles, California and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1609554963
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameJUSTIN JORDAN RICHARDSON
Location Address12021 WILMINGTON AVE STE 2BLos Angeles, CA 90059-3019
Mailing Address12021 Wilmington Ave Ste 2bLos Angeles, CA 90059-3019 · (310) 221-6336
Phone(310) 221-6336
Sole ProprietorNo
Enumeration DateJuly 7, 2023
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1609554963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
12021 WILMINGTON AVE STE 2B, Los Angeles, CA 90059
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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.

NATALIA MALDONADO
Day Training/Habilitation Specialist
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059
Los Angeles County (213) 222-1681
ISAIAH CHRISTOPHER LORING
Day Training/Habilitation Specialist
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059
Los Angeles County (310) 221-6336
I'NESA MAE JOHNSON
Day Training/Habilitation Specialist
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059
Los Angeles County (310) 221-6336
SHIELLA MAE BEL
Licensed Vocational Nurse
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059
Los Angeles County (213) 222-1681
BENITA MONIQUE CANDO
Day Training/Habilitation Specialist
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059
Los Angeles County (213) 222-1681
HAYLEY COOPER
Community Health Worker
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059
Los Angeles County (310) 221-6336
KELLI DAVIS
Licensed Vocational Nurse
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059
Los Angeles County (213) 222-1681
OLIVFAUN STALLWORTH
Licensed Vocational Nurse
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059
Los Angeles County (310) 221-6336

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 Justin Richardson's NPI number?

The NPI number for Justin Richardson is 1609554963. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Justin Richardson located?

Justin Richardson practices at 12021 Wilmington Ave Ste 2B, Los Angeles, CA 90059. The listed phone number is (310) 221-6336.

What is Justin Richardson's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Justin Richardson was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.