Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN RICCOBONI, MPA
Active Sole ProprietorJORDAN RICCOBONI, MPA is a Physician Assistant healthcare provider located in WILMINGTON, California. NPI 1083442123 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WILMINGTON, CA
Registration Details
- NPI Number
- 1083442123
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2024 (2.0528846912528 yrs)
- Last Updated
- Mar 21, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1334 N AVALON BLVDWILMINGTON, CA, 907442639Browse CA providers · Browse ZIP 90744
- Phone
- 3108354009
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WILMINGTON, CA
| Name | Credential | NPI |
|---|---|---|
| SANDRA NIPPLE DONOHUE | P,A | 1912065830 |
| MS. ROSALIND J WILLIAMS | PA-C | 1437281979 |
| SALLY AMMAR | — | 1053733543 |
| NEGIN KAHEN | PA-C | 1831509124 |
| BRIDGET JEMISON | PHYSICIAN ASSISTANT | 1407267016 |
| CRYSTAL MACIEL | PA-C | 1316320690 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.