Healthcare Provider Details

I. General information

NPI: 1518895804
Provider Name (Legal Business Name): CAPISTRANO UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29070 SHARK BAY
LAGUNA NIGUEL CA
92677-1542
US

IV. Provider business mailing address

33122 VALLE RD
SAN JUAN CAPISTRANO CA
92675-4859
US

V. Phone/Fax

Practice location:
  • Phone: 949-234-5360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNA JORDHEIM
Title or Position: SCHOOL COUNSELOR
Credential:
Phone: 949-234-9200