Jordan Blaine
NPI 1093171480 · Psychiatric/Mental Health Nurse Practitioner · Orange, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Blaine is a Psychiatric/Mental Health Nurse Practitioner provider in Orange, CA (NPI 1093171480).
Provider details
- NPI number
- 1093171480
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 95014481 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-01-14
- Last updated
- 2020-05-06
- Certified
- 2020-05-06
Frequently asked questions
- What is Jordan Blaine's NPI number?
- Jordan Blaine's National Provider Identifier (NPI) is 1093171480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Blaine's specialty?
- Jordan Blaine is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jordan Blaine located?
- Jordan Blaine's practice location on file with NPPES is 4900 E Chapman Ave Unit 103, Orange, CA 92869-4140.
- What is Jordan Blaine's phone number?
- The practice phone number listed in the NPPES registry for Jordan Blaine is (323) 365-6312.
- Does Jordan Blaine accept Medicare?
- Jordan Blaine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Blaine's NPI active?
- Yes — Jordan Blaine's NPI (1093171480) is active in the NPPES registry as of the last update on 2020-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.