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

Jordan Blaine

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093171480

Jordan Blaine is a Nurse Practitioner in Orange, California. Qualified in 2020, 6 years ago. Practices with Thomas Health Services Inc, a 32-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

4900 E Chapman Ave Unit 103
Orange, CA 92869-4140
Phone: (323) 365-6312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95014481 (CA)

Record details

NPI number1093171480
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 14, 2016
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020
Mailing address4900 E Chapman Ave Unit 103, Orange, CA 92869-4140

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Thomas Health Services Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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