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JERED ROBERT DAVIDSON
NPI 1407795743
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 25, 2026
1200 N STATE ST RM C4E100, LOS ANGELES, CA 90089(323) 865-1084 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jered Robert Davidson NPPES

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

JERED ROBERT DAVIDSON (NPI 1407795743) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1407795743
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJERED ROBERT DAVIDSON
Location Address1200 N STATE ST RM C4E100Los Angeles, CA 90089-1001
Mailing Address1200 N State St Rm C4e100Los Angeles, CA 90089-1001 · (323) 865-1084
Phone(323) 865-1084
Sole ProprietorYes
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1407795743 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.
1200 N STATE ST RM C4E100, Los Angeles, CA 90089
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Other Providers at the Same Location NPPES 17

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

JORDAN ISAIAH JONES MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 865-1084
DR. HARRISON JOSEPH MA MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (626) 348-7639
DR. AUNDREE HERMAWAN MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 442-7400
DR. WILLIAM NARINYAN DO
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (818) 802-0702
KENNETH SCHMITT
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 442-7400
GAUTHAM PAVAR
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 865-1084
JORENA LIM
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 442-7400
DR. SAUMYA SHAH DO
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 865-1084

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 Jered Davidson's NPI number?

The NPI number for Jered Davidson is 1407795743. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Jered Davidson located?

Jered Davidson practices at 1200 N State St Rm C4e100, Los Angeles, CA 90089. The listed phone number is (323) 865-1084.

What is Jered Davidson'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 Jered Davidson was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.