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JENNIFER BLANK MA
NPI 1750119798
Student in an Organized Health Care Education/Training Program in Garden Grove, CA

Active since July 22, 2024
12431 LEWIS ST STE 102, GARDEN GROVE, CA 92840(657) 452-6811 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Jul 22, 2024 (2 updates tracked since 2024).

About Jennifer Blank Ma NPPES

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

JENNIFER BLANK MA (NPI 1750119798) is an individual student in an organized health care education/training program in Garden Grove, California and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1750119798
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER BLANKCredential: MA
Location Address12431 LEWIS ST STE 102Garden Grove, CA 92840-4653
Mailing Address401 Verano RdIrvine, CA 92617-3108 · (206) 584-4331
Phone(657) 452-6811
Sole ProprietorNo
Enumeration DateJuly 22, 2024
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1750119798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
12431 LEWIS ST STE 102, Garden Grove, CA 92840
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Other Providers at the Same Location NPPES 5

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

JOSHUA JAVIER PEREZ
Case Manager/Care Coordinator
12431 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (657) 452-6811
SARAH LARUE KAUFFMAN ACSW
Social Worker
12431 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (307) 438-6207
CLARISSA CHIONG BA
Case Manager/Care Coordinator
12431 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (657) 452-6811
LESLIE GISSEL CHAVEZ
Student in an Organized Health Care Education/Training Program
12431 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (714) 717-1165
SHRIYA BHUTANI
Student in an Organized Health Care Education/Training Program
12431 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Orange County (657) 452-6811

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 Jennifer Blank's NPI number?

The NPI number for Jennifer Blank is 1750119798. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Jennifer Blank located?

Jennifer Blank practices at 12431 Lewis St Ste 102, Garden Grove, CA 92840. The listed phone number is (657) 452-6811.

What is Jennifer Blank'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 Jennifer Blank was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.