Organization Active NPI

Image RX, Inc.

  • Medical Specialty Clinic/Center
  • Long Beach, CA
National Provider Identifier
1538487210
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
FNP36074 Issued in CA
Legal business name
IMAGE RX, INC.
Practice address
6214 E Pacific Coast Hwy
Long Beach, CA 90803-4867
Phone
(562) 961-3668
Fax
(562) 961-3669
NPI assigned
May 5, 2010
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Ms. Jennifer L Rascoe, RNNPI 1710303888
Title
Registered Nurse
Phone
(562) 961-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X FNP36074 CA Primary

Addresses

Primary practice location

6214 E Pacific Coast Hwy
Long Beach, CA 90803-4867

Mailing address

6214 E Pacific Coast Hwy
Long Beach, CA 90803-4867
Phone (562) 961-3668

National Provider Directory

National Provider Directory

Locations

6214 E Pacific Coast Hwy
Long Beach, CA 90803
Phone (562) 961-3668

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1538487210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034867",
            "telephone_number": "562-961-3668",
            "fax_number": "562-961-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034867",
            "telephone_number": "562-961-3668",
            "fax_number": "562-961-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "RASCOE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "562-961-3668",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "FNP36074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.