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HENDRIK JOHANNES DE JAGER M.D.
NPI 1043398282
Specialist in San Bernardino, CA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
1850 S WATERMAN AVE, SUITE A, SAN BERNARDINO, CA 92408(909) 796-2525(909) 824-2028 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hendrik Johannes De Jager M.d. NPPES

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

HENDRIK JOHANNES DE JAGER M.D. (NPI 1043398282) is an individual specialist in San Bernardino, California, licensed in California (A252550) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1964).

NPPES Registry Identity

NPI1043398282
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameHENDRIK JOHANNES DE JAGERCredential: M.D.
Location Address1850 S WATERMAN AVE, SUITE ASan Bernardino, CA 92408-2852
Mailing Address1850 S Waterman Ave, Suite ASan Bernardino, CA 92408-2852 · (909) 796-2525 · Fax (909) 824-2028
Phone(909) 796-2525
Fax(909) 824-2028
Sole ProprietorYes
Medical School CMSOtherGraduated 1964
Enumeration DateNovember 2, 2006
Last NPPES UpdateJune 24, 2010
✔ NPI 1043398282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A252550
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1850 S WATERMAN AVE, San Bernardino, CA 92408
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Other Identifiers 3

Medicare ID-Type Unspecified00A252550CA · M-care Number
Medicaid00A252550CA
Medicare UPINA24348CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hendrik Johannes De Jager M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557274883
PECOS Enrollment IDI20031111000832
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services15 patients

Other Providers at the Same Location NPPES 9

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

MEDX-IMAGING SERVICES
Radiology (Diagnostic Radiology)
1850 S WATERMAN AVE, SUITE F
SAN BERNARDINO, CA 92408
San Bernardino County (909) 232-0056
MILLICENT MUTHIKE
Nurse Practitioner (Family)
1850 S WATERMAN AVE
SAN BERNARDINO, CA 92408
San Bernardino County (909) 890-9393
DEL GRACE
Nurse Practitioner (Pediatrics)
1850 S WATERMAN AVE, SUITE F
SAN BERNARDINO, CA 92408
San Bernardino County (909) 890-9393
INLAND ORTHOPEDIC MEDICAL INC.
Specialist
1850 S WATERMAN AVE, SUITE E
SAN BERNARDINO, CA 92408
San Bernardino County (909) 890-0977
WILSON IZQUIERDO MD, INC
Clinic/Center (Urgent Care)
1850 S WATERMAN AVE, SUITE F / URGENT FAMILY CENTER
SAN BERNARDINO, CA 92408
San Bernardino County (909) 890-9393
MR. DANIEL KISHNER HAD
Hearing Instrument Specialist
1850 S WATERMAN AVE, SUITE A
SAN BERNARDINO, CA 92408
San Bernardino County (310) 488-7244
HENROY CAMPBELL
Family Medicine
1850 S WATERMAN AVE
SAN BERNARDINO, CA 92408
San Bernardino County (909) 890-9393
THOMAS CROSBY
Clinic/Center (Radiology)
1850 S WATERMAN AVE, SUITE F
SAN BERNARDINO, CA 92408
San Bernardino County (909) 232-0056

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 Hendrik De Jager's NPI number?

The NPI number for Hendrik De Jager is 1043398282. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Hendrik De Jager located?

Hendrik De Jager practices at 1850 S Waterman Ave Suite A, San Bernardino, CA 92408. The listed phone number is (909) 796-2525.

What is Hendrik De Jager's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Hendrik De Jager enrolled in Medicare?

Yes. Hendrik De Jager is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Hendrik De Jager was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.