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JEFFREY ANDREW VAN GORDER
NPI 1760290894
Lodging in La Verne, CA

Active since December 20, 2024
6425 CANTERWOOD RD, LA VERNE, CA 91750(909) 267-4342 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Andrew Van Gorder NPPES

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

JEFFREY ANDREW VAN GORDER (NPI 1760290894) is an individual lodging provider in La Verne, California and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1760290894
Entity TypeIndividualMale
Primary Taxonomy177F00000X
Provider Legal NameJEFFREY ANDREW VAN GORDER
Location Address6425 CANTERWOOD RDLa Verne, CA 91750-1211
Mailing Address6425 Canterwood RdLa Verne, CA 91750-1211 · (909) 267-4342
Phone(909) 267-4342
Sole ProprietorYes
Enumeration DateDecember 20, 2024
NPPES CertifiedDecember 20, 2024
✔ NPI 1760290894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
6425 CANTERWOOD RD, La Verne, CA 91750
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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 Jeffrey Van Gorder's NPI number?

The NPI number for Jeffrey Van Gorder is 1760290894. It was assigned to this individual provider in the NPPES registry on December 20, 2024.

Where is Jeffrey Van Gorder located?

Jeffrey Van Gorder practices at 6425 Canterwood Rd, La Verne, CA 91750. The listed phone number is (909) 267-4342.

What is Jeffrey Van Gorder's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Van Gorder was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.