Dr Jordan Devera, MD is a
Student In An Organized Health Care Education/training Program physician based in Colton, California. Dr Jordan Devera is licensed to practice in * (Not Available) (license number ) and his current practice location is 400 N Pepper Ave, Colton, California. He can be reached at his office (for appointments etc.) via phone at
(510) 525-6927.
NPI number for Dr Jordan Devera is 1336882463 and his current mailing address is 400 N Pepper Ave, Colton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336882463.
Physician's Profile
| Full Name | Dr Jordan Devera |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 400 N Pepper Ave, Colton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336882463
- Provider Enumeration Date: 04/16/2022
- Last Update Date: 09/09/2025
Medical Identifiers
Medical identifiers for Dr Jordan Devera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336882463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A204631 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Devera is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jordan Devera, MD
400 N Pepper Ave,
Colton, CA 92324-1801
Ph: () - | Dr Jordan Devera, MD
400 N Pepper Ave,
Colton, CA 92324-1801
Ph: (510) 525-6927 |
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