Jiffry Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A043501 Issued in CA

Legal business name

JIFFRY MEDICAL CORPORATION

Practice address

399 E Highland Ave
Suite 312
San Bernardino, CA 92404-3808

Phone

(909) 886-8227

Fax

(909) 883-3358

NPI assigned

May 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ahamed J Jiffry, M.D.NPI 1295848679

Title

Owner

Phone

(909) 886-8227

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahamed J Jiffry, MD

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1295848679
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1265609119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 312",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-886-8227",
            "fax_number": "909-883-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 312",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-886-8227",
            "fax_number": "909-883-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIFFRY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "JIFFRY",
        "authorized_official_first_name": "AHAMED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-886-8227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A043501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A35010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Jernigan
• Morgan Wade Jesinghaus, B.A.
• Kelly Alyssa Jeu, MD
• Natalie Jews
• Jinfeng Jiang, MD
• Ahamed J Jiffry, MD
• Maritza Jim
• Alison Jimenez
• Anthony Jimenez
• Ashley Jimenez

• Internal Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.