Jesse R. Devera in San Bernardino - Family Medicine
Jesse R. Devera - NPI 1023159118
Jesse R. Devera is a Family Medicine in San Bernardino, California. Jesse R. Devera practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jesse R. Devera is 1023159118. The last update date is 2017-01-05.
Jesse R. Devera's current location address is 303 E Vanderbilt Way, San Bernardino, California. You can contact this provider via phone number 9093880810 and fax number 9098902081. The mailing address for Jesse R. Devera is 303 E Vanderbilt Way, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jesse R. Devera |
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Address | 303 E Vanderbilt Way, San Bernardino, California |
Phone Number | 9093880810 |
Fax Number | 9098902081 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1023159118 |
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Provider Enumeration Date | 2007-02-09 |
Last Updated Date | 2017-01-05 |
Provider Mailing Address Detail
Address | 303 E Vanderbilt Way |
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City | San Bernardino |
State | California (CA) |
Post Code | 924150026 |
Phone Number | 9093880810 |
Fax Number | 9098902081 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | A41881 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Jesse R. Devera by the Centers for Medicare & Medicaid Services?
The Jesse R. Devera has been issued the NPI (National Provider Identifier) 1023159118, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jesse R. Devera is physically located?
The Jesse R. Devera is physically situated at the following address: 303 E Vanderbilt Way, San Bernardino, CA, 924150026.
What is Jesse R. Devera's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jesse R. Devera's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023159118 to Jesse R. Devera?
The Centers for Medicare & Medicaid Services originally issued the 1023159118 to Jesse R. Devera on 2007-02-09.
When was the information related to Jesse R. Devera most recently updated or refreshed?
The details pertaining to the Jesse R. Devera, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-01-05.