Jacknolia Urgent Care

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JACKNOLIA URGENT CARE

Practice address

9041 Magnolia Ave
Suite 107
Riverside, CA 92503-3900

Phone

(951) 353-1021

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Chapman

Title

Administrator

Phone

(951) 353-1021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1174981906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE",
            "address_2": "SUITE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062857",
            "telephone_number": "951-682-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "SUITE 107",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-353-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKNOLIA URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-353-1021"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Watts Office Inc
• Ranj Jaaf
• Jack B Kistler MD Inc
• Jack H. Akmakjian, MD Inc.
• Rebecca Lynn Jack, ATC
• John Arimon Jackop Eshak, RPH
• Aeisha Jackson
• Amya Jackson
• Andrew Lee Jackson Jr.
• Brielle Jhanae Jackson

• General Practice Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.