Jorden Wyrick

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

800 Scenic Dr BLDG F
Modesto, CA 95350-6131

Phone

(209) 569-0376

Fax

(209) 529-8519

NPI assigned

Aug 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1902765993
  NPD (past)
• Turning Point Community Programs

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1528189172
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1255859153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 LUNDY AVE STE 223",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311888",
            "telephone_number": "408-284-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SCENIC DR BLDG F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506131",
            "telephone_number": "209-569-0376",
            "fax_number": "209-529-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYRICK",
        "first_name": "JORDEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Ann Wy, M.D.
• Donald Wyatt III, PHARMD
• Janelle Lynn Wyatt
• Demitri Von Wycoff
• Soe Lwin Wynn, DMD
• Tinu Xavier, NP
• Nan Xiang
• Keliang Xiao, MD
• Emily Xiong
• Miranda Xiong

• Adult Companion in Modesto, CA
• Providers in Modesto, CA by specialty
• Adult Companion in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.