James Earl Cephas, M.A
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · San Bernardino, CA
NPI 1134416175 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1134416175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1963 N E St
San Bernardino, CA 92405-3919 - Phone
- (909) 881-6146
- Fax
- (909) 881-0111
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1963 N E St
San Bernardino, CA 92405-3919
Mailing address
1963 N E St
San Bernardino, CA 92405-3919
Phone (909) 881-6146
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All providers in San Bernardino, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.