Jordan Austin Kai Gouveia, EMT

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

License

E177413 Issued in CA

Practice address

1500 Petaluma Blvd S
Petaluma, CA 94952-5545

Phone

(707) 765-8488

NPI assigned

Aug 25, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Darien Jordan Austin Crawford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Petaluma People Services Center

  • Community/Behavioral Health Agency
  • Petaluma, CA
  • NPI 1396951430
  NPD (past)
• Petaluma People Services Center

  • Community/Behavioral Health Agency
  • Petaluma, CA
  • NPI 1558405126
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1053299479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PETALUMA BLVD S",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525545",
            "telephone_number": "707-765-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PETALUMA BLVD S",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525545",
            "telephone_number": "707-765-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUVEIA",
        "first_name": "JORDAN",
        "middle_name": "AUSTIN KAI",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": "E177413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARIEN",
            "last_name": "CRAWFORD",
            "middle_name": "JORDAN AUSTIN",
            "credential": "EMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donovan Gordon
• Mary Sloan Gorman, LCSW
• Briauna Gortarez
• Christine Gosey
• David Gottlieb
• Maureen Mona Grabowski, PH.D.
• Martin Graff, MFT
• Bailey Hudson Graham IV, DDS
• Serina Michelle Granville
• Anna Gray, MFT, PSYD.

• Day Training/Habilitation Specialist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.