Impact Care Access Network II

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IMPACT CARE ACCESS NETWORK II

Practice address

9390 Hesperia Rd Ste 7
Hesperia, CA 92345-3602

Phone

(760) 998-3550

Fax

(760) 998-3552

NPI assigned

May 15, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emanuel Jeanpierre, PA-C

Title

Co-Ceo

Phone

(760) 998-3550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1073003000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 HESPERIA RD STE 7",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453602",
            "telephone_number": "760-998-3550",
            "fax_number": "760-998-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 HESPERIA RD STE 7",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453602",
            "telephone_number": "760-998-3550",
            "fax_number": "760-998-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT CARE ACCESS NETWORK II",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "JEANPIERRE",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "760-998-3550",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Elaine Humphrey
• Herleena Hunt
• Diane Huynh, PHARMD
• Ly Huynh, PHARMD
• Hyeyun Lee D.D.S., Inc.
• Impact Care Access Network Inc
• Giovanni Ingolia, CHW
• Inland Psychiatric Medical Group, Inc.
• Franklin Bradford Inouye, O..D.
• Feliciano Joseph Inzunza, PPS, ASC

• Family Medicine Physician in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.