1. Home
  2. Directory
  3. California
  4. Corona
  5. Counselor
  6. NPI Profile

JORDAN PAUL RADT
NPI 1710540034
Counselor - Addiction (Substance Use Disorder) in Corona, CA

Active since April 22, 2019
623 N MAIN ST, CORONA, CA 92880(909) 488-9477 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Paul Radt NPPES

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

JORDAN PAUL RADT (NPI 1710540034) is an individual addiction (substance use disorder) provider in Corona, California, licensed in California (R1333970119) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1710540034
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJORDAN PAULCredential: RADT
Location Address623 N MAIN STCorona, CA 92880-1407
Mailing Address623 N Main StCorona, CA 92880-1407
Phone(909) 488-9477
Sole ProprietorNo
Enumeration DateApril 22, 2019
✔ NPI 1710540034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1333970119
623 N MAIN ST, Corona, CA 92880
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS STEPHANIE A MARSH NONE
Counselor (Addiction (Substance Use Disorder))
623 N MAIN ST, SUITE D11
CORONA, CA 92880
Riverside County (951) 737-2962
MS. LUCILLE ANDREA YGLESIAS
Counselor (Addiction (Substance Use Disorder))
623 N MAIN ST, SUITE D-11
CORONA, CA 92880
Riverside County (951) 737-2962
RAUL LOPEZ
Counselor (Addiction (Substance Use Disorder))
623 N MAIN ST
CORONA, CA 92880
Riverside County (951) 737-2962

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 Paul's NPI number?

The NPI number for Jordan Paul is 1710540034. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Jordan Paul located?

Jordan Paul practices at 623 N Main St, Corona, CA 92880. The listed phone number is (909) 488-9477.

What is Jordan Paul's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jordan Paul was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.