Jordyn Ashly Kerner

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

65204 Issued in CA

Practice address

3130 Inland Empire Blvd Ste B
Ontario, CA 91764-6570

Phone

(909) 490-3110

NPI assigned

May 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inland Empire Womans Center, Medical Associates

  • Obstetrics & Gynecology Physician
  • San Bernardino, CA
  • NPI 1295270254
  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1497445183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 POINT DE VUE DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225594",
            "telephone_number": "972-974-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 INLAND EMPIRE BLVD STE B",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917646570",
            "telephone_number": "909-490-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 E Highland Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924043842",
            "country_code": "US",
            "telephone_number": "972-974-2628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10459 Mountain View Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542033",
            "country_code": "US",
            "telephone_number": "909-801-7077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Western Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924111353",
            "country_code": "US",
            "telephone_number": "909-474-9959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16465 Sierra Lakes Pkwy Ste 245",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923361267",
            "country_code": "US",
            "telephone_number": "909-350-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERNER",
        "first_name": "JORDYN",
        "middle_name": "ASHLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "65204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Kennedy
• Tyreisha Lanae Kennedy
• Yoojin Kennedy, PHARMD
• Betty Kenny
• Christina Kerby
• Chantal Goudreault Kerr
• Benjamin Maurice Kershberg, M.D.
• Key Communication, Speech & Language Services, Inc.
• Sydney McKenzie Keyner
• KF Bella Vista LLC

• Physician Assistant in Ontario, CA
• Providers in Ontario, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.