Individual provider Active NPI

Jeremy Aldana, MS

  • School Psychologist
  • Redondo Beach, CA
National Provider Identifier
1073302089
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
250041985 Issued in CA
Practice address
2625 Manhattan Beach Blvd Ste 100
Redondo Beach, CA 90278-1604
Phone
(310) 426-8589
NPI assigned
May 5, 2025
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 250041985 CA Primary

Addresses

Primary practice location

2625 Manhattan Beach Blvd Ste 100
Redondo Beach, CA 90278-1604

Mailing address

2625 Manhattan Beach Blvd Ste 100
Redondo Beach, CA 90278-1604
Phone (310) 426-8589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
250041985CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Environmental Charter Schools CurrentSince May 11, 2025 Accepting new patients

Locations

2625 Manhattan Beach Blvd
#100
Redondo Beach, CA 90278
Phone (310) 214-3408

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1073302089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 MANHATTAN BEACH BLVD STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781604",
            "telephone_number": "310-426-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 MANHATTAN BEACH BLVD STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781604",
            "telephone_number": "310-426-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDANA",
        "first_name": "JEREMY",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "250041985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.