JATONN PARHAM NPI 1801711940

NPI Information

  • NPI: 1801711940
  • Provider Name: JATONN PARHAM
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Individual
  • Address: 604 W 40TH ST
    SAN BERNARDINO, CA
    ZIP 92407
  • Phone: (909) 712-9508

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NPI Details

Jatonn Parham is an assisted living facility in San Bernardino, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. Jatonn Parham NPI is 1801711940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

604 W 40TH ST
SAN BERNARDINO, CA
ZIP 92407-578
Phone: (909) 712-9508

The enumeration date for this NPI number is 8/10/2026 and was last updated on 8/10/2026.

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
1171M00000XCase Manager/Care CoordinatorCALIFORNIANo
2175T00000XPeer SpecialistCALIFORNIANo
3251G00000XHospice Care, Community BasedCALIFORNIANo
4251S00000XCommunity/Behavioral HealthCALIFORNIANo
5251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationCALIFORNIANo
6253Z00000XIn Home Supportive CareCALIFORNIANo
7311ZA0620XCustodial Care FacilityAdult Care HomeCALIFORNIANo
8320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesCALIFORNIANo
9320700000XResidential Treatment Facility, Physical DisabilitiesCALIFORNIANo
10310400000XAssisted Living FacilityCALIFORNIAYes

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: 11/21/2025

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