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JEVARI ANDERSON
NPI 1417670944
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since September 20, 2022
747 52ND ST, OAKLAND, CA 94609(510) 428-3885 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2025, May 14, 2023, Sep 20, 2022 (3 updates tracked since 2022).

About Jevari Anderson NPPES

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

JEVARI ANDERSON (NPI 1417670944) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1417670944
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEVARI ANDERSON
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address57 Madrid LnAntioch, CA 94509-4455 · (510) 650-7156
Phone(510) 428-3885
Sole ProprietorNo
Enumeration DateSeptember 20, 2022
Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1417670944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
747 52ND ST, Oakland, CA 94609
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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.

MRS. SHERYL LEE GARCIA RN
Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ERICA TRINGALE N.P,
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3373
MRS. NATALIE PLOTKIN MS, ACPNP
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3484
REBECCA ROMANOV MD
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3331
SHELLEY ANNE BULL CPNP-PC
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
KARIDA ADETORO
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ANNIE ROQUE
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-4418
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885

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 Jevari Anderson's NPI number?

The NPI number for Jevari Anderson is 1417670944. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Jevari Anderson located?

Jevari Anderson practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3885.

What is Jevari Anderson'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 Jevari Anderson was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.