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

Individual provider Rehabilitation Practitioner · NPI 1639812167

Jordi Cifuentes is a Rehabilitation Practitioner in San Rafael, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

65 Mitchell Blvd Ste 104
San Rafael, CA 94903-2079
Phone: (415) 455-8481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5762 Bolsa Ave, Huntington Beach, CA 92649-1172 — (714) 292-2322

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1639812167
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

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