Jordan Devera, MD is a
Student In An Organized Health Care Education/training Program physician based in Colton, California. Jordan Devera is licensed to practice in * (Not Available) (license number ) and his current practice location is 400 N Pepper Ave, Colton, California. He can be reached at his office (for appointments etc.) via phone at
(510) 525-6927.
NPI number for Jordan Devera is 1336882463 and his current mailing address is 400 N Pepper Ave, Colton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336882463.
Physician's Profile
Full Name | Jordan Devera |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 400 N Pepper Ave, Colton, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336882463
- Provider Enumeration Date: 04/16/2022
- Last Update Date: 03/30/2024
Medical Identifiers
Medical identifiers for Jordan Devera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336882463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | PTL10063 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Devera is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jordan Devera, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: () - | Jordan Devera, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (510) 525-6927 |
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