Jonathan Stevens
Health & Wellness Coach in San Bernardino, CA. Individual provider (NPI-1).
NPI number1104671817
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1104671817
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Stevens
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2024
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | – | – | Yes |
Practice location
1906 Commercenter E Ste 210San Bernardino, CA 92408-3424
Phone 401-529-7266
Mailing address
252 E 16th StSan Bernardino, CA 92404-5012
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Health & Wellness Coach providers in San Bernardino · All 7,202 providers in San Bernardino
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