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JASON EUGENE KEITH
NPI 1720864416
Student in an Organized Health Care Education/Training Program in San Bernardino, CA

Active since September 07, 2023
1481 WINDSOR DR, SAN BERNARDINO, CA 92404(909) 361-6470 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jason Eugene Keith NPPES

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

JASON EUGENE KEITH (NPI 1720864416) is an individual student in an organized health care education/training program in San Bernardino, California and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1720864416
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJASON EUGENE KEITH
Location Address1481 WINDSOR DRSan Bernardino, CA 92404-5416
Mailing AddressPo Box 4326Blue Jay, CA 92317-4326 · (843) 639-2082
Phone(909) 361-6470
Sole ProprietorYes
Enumeration DateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1720864416 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.
1481 WINDSOR DR, San Bernardino, CA 92404
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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.

MANNY BRICE KELLY LPT
Licensed Psychiatric Technician
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6472
YODIT T. ZERAI ASW 94206
Counselor (Mental Health)
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470
MISS ESTRELLA GUADALUPE MORENO
Social Worker
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470
JASMINE NELSON
Licensed Vocational Nurse
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470
HAZEL LYNETTE OROZCO
Social Worker
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470
AARON JAY LIM RN
Registered Nurse
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6472
TRINITY M SHOFNER
Community Health Worker
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470
MRS. MAYRA YOLANDA MEDINA-MOTES
Student in an Organized Health Care Education/Training Program
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-6470

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 Jason Keith's NPI number?

The NPI number for Jason Keith is 1720864416. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Jason Keith located?

Jason Keith practices at 1481 Windsor Dr, San Bernardino, CA 92404. The listed phone number is (909) 361-6470.

What is Jason Keith'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 Jason Keith was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.