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NPI 1669529863ActiveOrganization· Voluntary or Charitable· Fontana, CA

Voluntary or Charitable in Fontana, California, registered in NPPES in January 2007. The authorized official on file is Kerry Jepson, Chief Executive Officer.

Overview

NPI1669529863
StatusActive
Entity typeOrganization
NPI issuedJan 3, 2007
Last updated in NPPESNov 13, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Voluntary or Charitable Primary251V00000X240000855CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Voluntary or Charitable providers in Fontana

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