Individual provider · Type 1 NPI

Jordan R. Anthony

Licensed Vocational Nurse · Castro Valley, CA

NPI number 1487576617 Active

Practice location

2050 Fairmont Dr
Castro Valley, CA 94578-1001

Mailing address

975 Bryant St Apt 228
San Francisco, CA 94103-4580

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X761852 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1487576617

Jordan R. Anthony's National Provider Identifier is 1487576617, issued on Jul 28, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Castro Valley, CA. The record was last updated on Jul 28, 2026.