JAHANSHAH DAVOODIFARD
NPI 1184568107
Student in an Organized Health Care Education/Training Program in San Bernardino, CA

Active since April 18, 2026
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 883-8711 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jahanshah Davoodifard NPPES

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

JAHANSHAH DAVOODIFARD (NPI 1184568107) is an individual student in an organized health care education/training program in San Bernardino, California and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1184568107
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAHANSHAH DAVOODIFARD
Location Address2101 N WATERMAN AVESan Bernardino, CA 92404-4836
Mailing Address900 University AveRiverside, CA 92521-9800 · (951) 827-1012
Sole ProprietorYes
Enumeration DateApril 18, 2026
NPPES CertifiedApril 18, 2026
NPI 1184568107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2101 N WATERMAN AVE, San Bernardino, CA 92404

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.

Physician Assistant (Medical)
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Student in an Organized Health Care Education/Training Program
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Student in an Organized Health Care Education/Training Program
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Physician Assistant
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Pharmacy Technician
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Student in an Organized Health Care Education/Training Program
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Emergency Medicine
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Anesthesiology
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404

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 Jahanshah Davoodifard's NPI number?

The NPI number for Jahanshah Davoodifard is 1184568107. It was assigned to this individual provider in the NPPES registry on April 18, 2026.

Where is Jahanshah Davoodifard located?

Jahanshah Davoodifard practices at 2101 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 883-8711.

What is Jahanshah Davoodifard's specialty?

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

When was this NPI record last updated?

The NPPES record for Jahanshah Davoodifard was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.