Trinichia D Jordan

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

BU21851765 Issued in CA

Practice address

4011 Elm Ave
Long Beach, CA 90807-2706

Phone

(562) 881-2647

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1700657558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 ELM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072706",
            "telephone_number": "562-881-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 ELM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072706",
            "telephone_number": "562-881-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TRINICHIA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "CA",
            "license": "BU21851765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Denise Jordan
• Eddie Jerome Jordan
• Milah Jordan, LCSW
• Shana Jordan, M.D.
• Tiffanie Jordan
• Sophia Jorgensen
• Cristina Joros, RDN
• Jose Cedillo Felix DDS Inc
• Jose Melendez (Oceanside Medical Services)
• Rochelle Jose

• Adult Companion in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Adult Companion in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.