HENDRIK JOHANNES DE JAGER (NPI# 1043398282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043398282 |
| Entity Type | Individual |
| Full Name | HENDRIK JOHANNES DE JAGER |
| Credential | M.D. |
| Practice Address |
1850 S Waterman Ave Suite A San Bernardino CA 92408-2852 |
| Practice Telephone | 9097962525 |
| Practice Fax Number | 9098242028 |
| Mailing Telephone | 9097962525 |
| Mailing Fax Number | 9098242028 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A252550 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A252550 | 05 |
| Street Address |
1850 S WATERMAN AVE SUITE A |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760013817 | Henroy Campbell | Family Medicine | 1850 S Waterman Ave, San Bernardino, CA 92408-2877 | 2020-01-28 |
| 1063873081 | Medx-imaging Services | Radiology | 1850 S Waterman Ave, Suite F, San Bernardino, CA 92408-2877 | 2016-03-18 |
| 1083097364 | Millicent Muthike | Nurse Practitioner | 1850 S Waterman Ave, San Bernardino, CA 92408-2877 | 2015-07-03 |
| 1144628041 | Del Grace | Nurse Practitioner | 1850 S Waterman Ave, Suite F, San Bernardino, CA 92408-2877 | 2014-12-09 |
| 1790128437 | Thomas Crosby | Clinic/Center | 1850 S Waterman Ave, Suite F, San Bernardino, CA 92408-2877 | 2013-04-11 |
| 1306106000 | Wilson Izquierdo Md, Inc | Clinic/Center | 1850 S Waterman Ave, Suite F / Urgent Family Center, San Bernardino, CA 92408-2877 | 2012-05-29 |
| 1972861011 | Urgent Family Care Inc | Clinic/Center | 1850 S Waterman Ave, Suite F, San Bernardino, CA 92408-2877 | 2012-04-26 |
| 1518148790 | Daniel Kishner | Hearing Instrument Specialist | 1850 S Waterman Ave, Suite A, San Bernardino, CA 92408-2877 | 2007-11-16 |
| 1194943738 | Inland Orthopedic Medical Inc. | Specialist | 1850 S Waterman Ave, Suite E, San Bernardino, CA 92408-2852 | 2007-04-20 |
| 1710008321 | Chintana Vassantachart Luke | Dentist | 1850 S Waterman Ave, Suite B, San Bernardino, CA 92408-2852 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689031528 | Inland Empire Autism Spectrum Disorder Assessment Center of Excellence | Specialist | 1499 S Tippecanoe Ave, Building A, San Bernardino, CA 92415-0024 | 2016-01-22 |
| 1497046361 | Kaylene R Carr | Specialist | 1800 N. Western Ave Ste 204, San Bernardino, CA 92411-1353 | 2011-04-27 |
| 1982912267 | Valley Physical Therapy | Specialist | 688 N Arrowhead Ave Ste 101b, San Bernardino, CA 92401-1144 | 2010-09-20 |
| 1912183955 | Edward J Puttre Jr. | Specialist | 1800 Western Ave Ste 101, San Bernardino, CA 92411-1352 | 2008-01-19 |
| 1952462699 | Jim Parker Ferguson | Specialist | 1255 E Highland Avenue, Suite 108, San Bernardino, CA 92404 | 2006-12-13 |
| 1467513739 | Franklin M Chu Md Inc | Specialist | 489 E 21st Street, San Bernardino, CA 92404 | 2006-12-12 |
| 1639256647 | Neveen Tadros | Specialist | 150 Carousell Mall, San Bernardino, CA 92415-0001 | 2006-11-01 |
| 1356422935 | Nenita F. Iturzaeta M.d., Inc. | Specialist | 850 W Highland Ave, Suite A, San Bernardino, CA 92405-3855 | 2006-10-18 |
| 1356437099 | Luke I-jen Hsiao | Specialist | 756 E Highland Ave, San Bernardino, CA 92404-4005 | 2006-10-04 |
| 1093811622 | David Edison Fisher | Specialist | 1850 S. Waterman Ave, Suite E, San Bernardino, CA 92408 | 2006-09-14 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.