Active NPI
Jhonathan E Fajardo
- Student in an Organized Health Care Education/Training Program
- Banning, CA
National Provider Identifier
1699562785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1330 W Ramsey St
Banning, CA 92220-4477 - Phone
- (951) 849-1762
- NPI assigned
- Apr 22, 2025
- Last updated
- Apr 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1330 W Ramsey St
Banning, CA 92220-4477
Mailing address
1151 Little Leaf St
Calimesa, CA 92320-4906
Phone (951) 751-5771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1699562785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 LITTLE LEAF ST",
"city": "CALIMESA",
"state": "CA",
"postal_code": "923204906",
"telephone_number": "951-751-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 W RAMSEY ST",
"city": "BANNING",
"state": "CA",
"postal_code": "922204477",
"telephone_number": "951-849-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAJARDO",
"first_name": "JHONATHAN",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-22",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.