Active NPI
Jadyn Jim Jamora
- Rehabilitation Practitioner
- Fairfax, CA
National Provider Identifier
1326900804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 20 Love CT
Fairfax, CA 94930-1312 - Phone
- (510) 329-5501
- NPI assigned
- Dec 2, 2025
- Last updated
- Dec 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | Primary |
Addresses
Primary practice location
20 Love CT
Fairfax, CA 94930-1312
Mailing address
20 Love CT
Fairfax, CA 94930-1312
Phone (510) 329-5501
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1326900804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 LOVE CT",
"city": "FAIRFAX",
"state": "CA",
"postal_code": "949301312",
"telephone_number": "510-329-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 LOVE CT",
"city": "FAIRFAX",
"state": "CA",
"postal_code": "949301312",
"telephone_number": "510-329-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMORA",
"first_name": "JADYN",
"middle_name": "JIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-02",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, CA
- Yana Harootunian-Cox, IBCLC
- Sarah Livingston Healy, MFTI
- Julia Griselda Hernandez, CA LM 142, IBCLC
- Jacquie D Hoffman, MDIV, DMIN CAND
- Amy Ione Holle, MFT
- Elizabeth Fletcher Kelly, MA, CCC-SLP
- Katherine Kielich, REGISTERED DIETITIAN
- Genevieve Elizabeth Le Goff, L.AC.
- Maria Therese Lee
- Jordana Lerios
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.