Jordan Marendino, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1560 Brookhollow Dr Ste 212
Santa Ana, CA 92705-5411

Phone

(949) 242-9720

NPI assigned

Jul 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Norooz Clinic Foundation

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1548640311
  NPD

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1144708447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26431 PEBBLE CRK",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BROOKHOLLOW DR STE 212",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055411",
            "telephone_number": "949-242-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARENDINO",
        "first_name": "JORDAN",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josefina Maravilla
• Hillary Marcella, BCBA
• Marco M Zahedi MD a Medical Corporation
• Mercedes A Mardones Hernandez
• Ahmad Marei, NP
• Desiree Ann Mares, RN, PHN, CNS
• Margarita Calzadilla-Kishimoto
• Ricardo Salac Mariano Jr., DMD
• Alison Wunderland Marie
• Madison Marie

• Psychologist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.