MEDICARE: CAPISTRANO UNIFIED SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1518895804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPISTRANO UNIFIED SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	33122 VALLE RD
Second Line	:
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675-4859
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	29070 SHARK BAY
Second Line	:
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-1542
Country	:	US
Telephone Number	:	949-234-5360
Fax Number	:

Authorized Official
Title or Position	:	SCHOOL COUNSELOR
Name	:	JENNA JORDHEIM
Credential	:
Telephone Number	:	949-234-9200

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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Directions to “CAPISTRANO UNIFIED SCHOOL DISTRICT ” Practice Location

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