Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Rogers

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215826375

Jacob Rogers is a Student in an Organized Health Care Education/Training Program in Fontana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

14677 Merrill Ave
Fontana, CA 92335-4219
Phone: (951) 643-2340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1215826375
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 1, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address14677 Merrill Ave, Fontana, CA 92335-4219

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