DR. JORDAN BLANKENSHIP (NPI# 1578874251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578874251 |
| Entity Type | Individual |
| Full Name | DR. JORDAN BLANKENSHIP |
| Practice Address |
286 Euclid Ave Suite 302 San Diego CA 92114-3610 |
| Practice Telephone | 6196624100 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2016-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY28610 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679927750 | Jordan Nicole Blankenship | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2016-04-14 |
| 1033592209 | Jordan Blankenship | Counselor | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2015-07-07 |
| Street Address |
286 EUCLID AVE SUITE 302 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92114-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467437624 | Kenneth Wells | Podiatrist | 286 Euclid Ave, Suite 204, San Diego, CA 92114-3610 | 2005-12-10 |
| 1427615749 | Taheerah Aneesah Armour | Case Manager/Care Coordinator | 286 Euclid Ave, San Diego, CA 92114-3610 | 2019-05-22 |
| 1144720426 | Sara Focht | Counselor | 286 Euclid Ave, San Diego, CA 92114-3610 | 2018-02-13 |
| 1669903639 | Michelle Caraballo | Counselor | 286 Euclid Ave, #102, San Diego, CA 92114-3610 | 2017-03-22 |
| 1861936916 | Edith Bonilla | Student in an Organized Health Care Education/Training Program | 286 Euclid Ave, San Diego, CA 92114-3610 | 2016-12-08 |
| 1023550365 | Brittany P Foster | Case Manager/Care Coordinator | 286 Euclid Ave, San Diego, CA 92114-3610 | 2016-11-16 |
| 1134677925 | Susan Conrad | Registered Nurse | 286 Euclid Ave, Suite 102, San Diego, CA 92114-3610 | 2016-09-21 |
| 1982152468 | Nergis Akkaya | Student in an Organized Health Care Education/Training Program | 286 Euclid Ave, #102, San Diego, CA 92114-3611 | 2016-09-14 |
| 1861841892 | Angeles Gaerlan | Registered Nurse | 286 Euclid Ave, Suite 102, San Diego, CA 92114-3610 | 2016-06-09 |
| 1033583455 | Enrique Mereles | Counselor | 286 Euclid Ave, San Diego, CA 92114 | 2015-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| 1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
| 1275919227 | Susan Reyes | Registered Nurse | 802a Cardiff Street, San Diego, CA 92114 | 2015-07-31 |
| 1760829097 | Rea Ordono Porciuncula | Registered Nurse | 982 Worthington St., San Diego, CA 92114 | 2013-05-28 |
| 1912170176 | Maxine Whitfield | Specialist | 5844 Mariposa Place, San Diego, CA 92114 | 2008-04-09 |
| 1124210844 | Bahghi Russom Keflezighi | Family Medicine | 220 Euclid Avenue, Suite 40, San Diego, CA 92114 | 2007-08-16 |
| 1982701058 | Mark Leroy Dimry | Pharmacist | 286 N Euclid Ave, Semca Pharmacy, San Diego, CA 92114 | 2006-09-20 |
| 1649241514 | Wendy G Chacon | Pediatrics | 292 Euclid Avenue, #220, San Diego, CA 92114 | 2006-01-30 |
| Find all providers in zip 92114 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.