Jacaranda Radiology

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

JACARANDA RADIOLOGY

Practice address

12021 Jacaranda Ave Ste 104
Hesperia, CA 92345-4978

Phone

(760) 956-5561

NPI assigned

Aug 5, 2011

Last updated

Aug 5, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

ABRAHAM WILSON INCAs reported in NPPES

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

Authorized official

Name

Miss Lakesha Scott, VN

Title

Administrative Manager

Phone

(760) 956-2636

Specialties & licenses 1

Addresses

Other names 1

• Jacaranda Imaging Center Other name

Part of

Abraham Wilson Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Abraham Wilson Inc

  dba Jacaranda Community Urgent Care

  • Urgent Care Clinic/Center
  • Hesperia, CA
  • NPI 1578929113
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arlene Braham, MD

  • General Practice Physician
  • Hesperia, CA
  • NPI 1447362462
  NPD (past)

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1356620512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 JACARANDA AVE STE 104",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923454978",
            "telephone_number": "760-956-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 JACARANDA AVE STE 104",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923454978",
            "telephone_number": "760-956-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACARANDA RADIOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABRAHAM WILSON INC",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LAKESHA",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "760-956-2636",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "VN"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacaranda Imaging Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Franklin Bradford Inouye, O..D.
• Feliciano Joseph Inzunza, PPS, ASC
• Paul J Iorio, ACSW
• Giselle Monzerath Isidoro
• J Kim Dental Corporation Inc.
• Jackson Family Therapy LLC
• Maria Rosario Jacobo
• Erica Nicole Jacobson, PCC
• James a. Sweeney DDS, a Dental Corporation (Hometown Dental)
• Kathleen Jansen, LMFT, NCC

• Radiology Clinic/Center in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.