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

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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