Individual provider · Type 1 NPI

Jakeva Wortham

Rehabilitation Practitioner · Riverside, CA

NPI number 1861088841 Active

Practice location

7899 Mission Grove Pkwy S Ste A
Riverside, CA 92508-5062

Call (951) 776-9223 Map

Mailing address

1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed
Behavior Technician 106S00000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1861088841

Jakeva Wortham's National Provider Identifier is 1861088841, issued on Dec 14, 2020. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Riverside, CA. The record was last updated on Jul 28, 2025.