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

Jordan Riccoboni, MPA

Individual provider Physician Assistant · NPI 1083442123

Jordan Riccoboni, MPA is a Physician Assistant in Wilmington, California. Qualified in 2024, 2 years ago. Practices with Behavioral Health Services Inc, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

1334 N Avalon Blvd
Wilmington, CA 90744-2639
Phone: (310) 835-4009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1083442123
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPA
Sole proprietorYes
NPI enumeratedJuly 22, 2024
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Behavioral Health Services Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington