DESHAWN JAHMAL EDGE-HUGHES
NPI 1063376523
Licensed Vocational Nurse in San Bernardino, CA

Active since December 10, 2025
2080 S E ST, SAN BERNARDINO, CA 92408(909) 388-9191 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deshawn Jahmal Edge-hughes NPPES

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

DESHAWN JAHMAL EDGE-HUGHES (NPI 1063376523) is an individual licensed vocational nurse in San Bernardino, California, licensed in California (755587) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1063376523
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameDESHAWN JAHMAL EDGE-HUGHES
Location Address2080 S E STSan Bernardino, CA 92408-2773
Mailing Address2080 S E StSan Bernardino, CA 92408-2773
Sole ProprietorYes
Enumeration DateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
NPI 1063376523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · 755587
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
2080 S E ST, San Bernardino, CA 92408

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.

Licensed Psychiatric Technician
2080 S E ST
SAN BERNARDINO, CA 92408
Counselor (Addiction (Substance Use Disorder))
2080 S E ST
SAN BERNARDINO, CA 92408
Social Worker (Clinical)
2080 S E ST
SAN BERNARDINO, CA 92408
Student in an Organized Health Care Education/Training Program
2080 S E ST
SAN BERNARDINO, CA 92408
Marriage & Family Therapist
2080 S E ST
SAN BERNARDINO, CA 92408
Counselor
2080 S E ST
SAN BERNARDINO, CA 92408
Licensed Psychiatric Technician
2080 S E ST
SAN BERNARDINO, CA 92408
Registered Nurse (Psychiatric/Mental Health)
2080 S E ST, STE. 100
SAN BERNARDINO, CA 92408

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 Deshawn Edge-hughes's NPI number?

The NPI number for Deshawn Edge-hughes is 1063376523. It was assigned to this individual provider in the NPPES registry on December 10, 2025.

Where is Deshawn Edge-hughes located?

Deshawn Edge-hughes practices at 2080 S E St, San Bernardino, CA 92408. The listed phone number is (909) 388-9191.

What is Deshawn Edge-hughes's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Deshawn Edge-hughes was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.