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JORDAN JOSIAH HARRIS
NPI 1649645805
Rehabilitation Practitioner in Brea, CA

Active since December 14, 2015
120 S STATE COLLEGE BLVD STE 150, BREA, CA 92821(714) 577-5452 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2023, Apr 1, 2020, Mar 26, 2020 and 1 more (4 updates tracked since 2015).

About Jordan Josiah Harris NPPES

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

JORDAN JOSIAH HARRIS (NPI 1649645805) is an individual rehabilitation practitioner in Brea, California and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1649645805
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameJORDAN JOSIAH HARRIS
Location Address120 S STATE COLLEGE BLVD STE 150Brea, CA 92821-5837
Mailing Address120 S State College Blvd Ste 150Brea, CA 92821-5837 · (714) 577-5400
Phone(714) 577-5452
Sole ProprietorYes
Enumeration DateDecember 14, 2015
Last NPPES UpdateJuly 22, 20254 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1649645805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

120 S STATE COLLEGE BLVD STE 150, Brea, CA 92821
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Other Names 1

Other Name (5)Jordan Glaze

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.

MS. AIDA SILVA VIVEROS MARRIAGE FAMILY THER
Marriage & Family Therapist
120 S STATE COLLEGE BLVD STE 150
BREA, CA 92821
Orange County (714) 577-5400
REINA CASSANDRA ROSALES MSW
Social Worker (Clinical)
120 S STATE COLLEGE BLVD STE 150
BREA, CA 92821
Orange County (714) 577-5400
ARIADNA JIMENEZ TRAYNOR
Counselor
120 S STATE COLLEGE BLVD STE 150
BREA, CA 92821
Orange County (174) 577-5400
ANASTASIOS TSEHERIDIS
Marriage & Family Therapist
120 S STATE COLLEGE BLVD STE 150
BREA, CA 92821
Orange County (714) 577-5400
FRANCES COCKSEDGE
Marriage & Family Therapist
120 S STATE COLLEGE BLVD STE 150
BREA, CA 92821
Orange County (714) 577-5406
CANDACE WONG
Marriage & Family Therapist
120 S STATE COLLEGE BLVD STE 150
BREA, CA 92821
Orange County (714) 577-5400
ANGELICA HERNANDEZ MS
Marriage & Family Therapist
120 S STATE COLLEGE BLVD STE 150
BREA, CA 92821
Orange County (714) 577-5400
KIMBERLY DANIELLE GRAYSON
Marriage & Family Therapist
120 S STATE COLLEGE BLVD STE 150
BREA, CA 92821
Orange County (714) 577-5400

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 Harris's NPI number?

The NPI number for Jordan Harris is 1649645805. It was assigned to this individual provider in the NPPES registry on December 14, 2015. The provider is also known as Jordan Glaze.

Where is Jordan Harris located?

Jordan Harris practices at 120 S State College Blvd Ste 150, Brea, CA 92821. The listed phone number is (714) 577-5452.

What is Jordan Harris'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 Jordan Harris was last updated on July 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.