Organization Active NPI

Nu Wave Medical Group Inc

  • Family Medicine Physician
  • Hesperia, CA
National Provider Identifier
1134769896
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NU WAVE MEDICAL GROUP INC
Practice address
9390 Hesperia Rd Suite 7
Hesperia, CA 92345
Phone
(760) 998-3550
Fax
(760) 998-3552
NPI assigned
Jan 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Emanuel Jean Pierre
Title
Ceo
Phone
(760) 998-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9390 Hesperia Rd Suite 7
Hesperia, CA 92345

Mailing address

9390 Hesperia Rd Suite 7
Hesperia, CA 92345
Phone (760) 998-3550

National Provider Directory

National Provider Directory

Locations

9390 Hesperia Rd
Ste 7
Hesperia, CA 92345
Phone (760) 998-2125

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1134769896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 HESPERIA RD SUITE 7",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "92345",
            "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 SUITE 7",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "92345",
            "telephone_number": "760-998-3550",
            "fax_number": "760-998-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU WAVE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "JEAN PIERRE",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-998-3550"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.