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JAIBIR SINGH KHERA
NPI 1003666256
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since March 22, 2024PECOS Enrolled
3505 BROADWAY, OAKLAND, CA 94611(510) 752-1200 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jaibir Singh Khera NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAIBIR SINGH KHERA (NPI 1003666256) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003666256
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAIBIR SINGH KHERA
Location Address3505 BROADWAYOakland, CA 94611-5798
Mailing Address3505 BroadwayOakland, CA 94611-5798
Phone(510) 752-1200
Sole ProprietorNo
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1003666256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
3505 BROADWAY, Oakland, CA 94611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaibir Singh Khera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUE A. HINES MSW
Social Worker (Clinical)
3505 BROADWAY, 7TH FLOOR
OAKLAND, CA 94611
Alameda County (510) 752-6842
DR. REBECCA LADD EAKINS AUSTIN M.D.
Pediatrics
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1200
BRIANNA GENTILE MS, MPH, CGC
Genetic Counselor, MS
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
JENNA TIDWELL
Genetic Counselor, MS
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-6298
DR. ROXIE MARIE MAYFIELD-STONE PH.D.
Psychologist (Clinical)
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1447
KATE PAYNE LCSW
Social Worker (Clinical)
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-5711
KAISER PERMANENTE
Genetic Counselor, MS
3505 BROADWAY, MOSSWOOD BUILDING, 10TH FLOOR
OAKLAND, CA 94611
Alameda County (510) 752-6396
FURYAL MAHMOOD MS, LCGC
Genetic Counselor, MS
3505 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-6298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaibir Khera's NPI number?

The NPI number for Jaibir Khera is 1003666256. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Jaibir Khera located?

Jaibir Khera practices at 3505 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-1200.

What is Jaibir Khera's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jaibir Khera enrolled in Medicare?

Yes. Jaibir Khera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaibir Khera was last updated on March 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.