JASON EUGENE KEITH NPI 1720864416

NPI Information

  • NPI: 1720864416
  • Provider Name: JASON EUGENE KEITH
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1481 WINDSOR DR
    SAN BERNARDINO, CA
    ZIP 92404
  • Phone: (909) 361-6470

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NPI Details

Jason Eugene Keith is a student in an organized health care education training program in San Bernardino, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jason Eugene Keith NPI is 1720864416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1481 WINDSOR DR
SAN BERNARDINO, CA
ZIP 92404-416
Phone: (909) 361-6470

The enumeration date for this NPI number is 9/7/2023 and was last updated on 9/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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