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JORDAN ISIAH ANTHONY WILBORN
NPI 1942974050
Licensed Psychiatric Technician in Orange, CA

Active since August 03, 2021
265 S ANITA DR STE 201, ORANGE, CA 92868(714) 410-3500(714) 470-3527 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2024, Aug 3, 2021 (2 updates tracked since 2021).

About Jordan Isiah Anthony Wilborn NPPES

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

JORDAN ISIAH ANTHONY WILBORN (NPI 1942974050) is an individual licensed psychiatric technician in Orange, California, licensed in California (42594) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1942974050
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameJORDAN ISIAH ANTHONY WILBORN
Location Address265 S ANITA DR STE 201Orange, CA 92868-3346
Mailing Address2345 E Commonwealth Ave Apt 18Fullerton, CA 92831-4277 · (323) 742-2700
Phone(714) 410-3500
Fax(714) 470-3527
Sole ProprietorYes
Enumeration DateAugust 3, 2021
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1942974050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 42594
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
265 S ANITA DR STE 201, Orange, CA 92868
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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.

ANESATI ALBERT PILI
Day Training/Habilitation Specialist
265 S ANITA DR STE 201
ORANGE, CA 92868
Orange County (310) 945-3350
ERICK ALEXIS PACHECO
Licensed Psychiatric Technician
265 S ANITA DR STE 201
ORANGE, CA 92868
Orange County (714) 410-3505
JANET GUTIERREZ
Day Training/Habilitation Specialist
265 S ANITA DR STE 201
ORANGE, CA 92868
Orange County (310) 945-3350
MICHELLE RAMOS
Day Training/Habilitation Specialist
265 S ANITA DR STE 201
ORANGE, CA 92868
Orange County (714) 410-3505
EDMUND ERWIN VERGARA FALCON
Licensed Vocational Nurse
265 S ANITA DR STE 201
ORANGE, CA 92868
Orange County (310) 945-3350
BRITTANY DANIELLE TREVINO
Student in an Organized Health Care Education/Training Program
265 S ANITA DR STE 201
ORANGE, CA 92868
Orange County (714) 410-3505
MACIE MIRANDA CORINNE MENDOZA
Day Training/Habilitation Specialist
265 S ANITA DR STE 201
ORANGE, CA 92868
Orange County (714) 410-3505
KAYLA NICOLE PIPER
Community Health Worker
265 S ANITA DR STE 201
ORANGE, CA 92868
Orange County (310) 945-3350

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 Wilborn's NPI number?

The NPI number for Jordan Wilborn is 1942974050. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Jordan Wilborn located?

Jordan Wilborn practices at 265 S Anita Dr Ste 201, Orange, CA 92868. The listed phone number is (714) 410-3500.

What is Jordan Wilborn's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Jordan Wilborn was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.