Jordi Cifuentes

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

65 Mitchell Blvd Ste 104
San Rafael, CA 94903-2079

Phone

(415) 455-8481

NPI assigned

Apr 13, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1639812167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MITCHELL BLVD STE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032079",
            "telephone_number": "415-455-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MITCHELL BLVD STE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032079",
            "telephone_number": "415-455-8481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5762 Bolsa Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926491172",
            "country_code": "US",
            "telephone_number": "714-292-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIFUENTES",
        "first_name": "JORDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-13",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taeho L Chung, JD
• Trudi Chwialkowski
• Catherine Cicotte, R.N., M.F.T.
• Luz Cifuentes Perez
• Eneyda Yulisa Cifuentes
• Melissa Cinko
• Cinssa Counseling Center, Inc
• Cinssa Counseling Center, Inc
• Michael Adam Ciranni, M.D., PH.D.
• Jasmina Ciric, PTA

• Rehabilitation Practitioner in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.