Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anthony Jerome Jordan

Individual provider Community Health Worker · NPI 1699508820

Anthony Jerome Jordan is a Community Health Worker in San Bernardino, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

604 W 4th St
San Bernardino, CA 92410-3216
Phone: (909) 701-7223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1699508820
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

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