Marvin Jefferson

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

27009 Nucia Dr
Moreno Valley, CA 92555-4984

Phone

(951) 713-6843

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1942113816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27009 NUCIA DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554984",
            "telephone_number": "951-713-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27009 NUCIA DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554984",
            "telephone_number": "951-713-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "MARVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amer A Jandali, M.D.
• Azza Jandali, DDS
• Byron Kevin Janzen
• Ezra Jaurequi
• Jay Kyung Lee MD Apc
• Sierra D Jefferson
• Stephen Jefferson
• Jean Jenbaz, DDS
• Suzanne Jensen, DDS
• Min Young Jeong, DAOM, L.AC.

• Non-emergency Medical Transport (VAN) in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.