Active NPI
Keneshia Henry
- Diagnostic Ultrasound Physician
- Carson, CA
National Provider Identifier
1780321497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 139685
- Practice address
- 20700 Avalon Blvd Ste 190
Carson, CA 90746-3708 - Phone
- (424) 340-2347
- NPI assigned
- May 14, 2022
- Last updated
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 139685 | CA | Primary |
Addresses
Primary practice location
20700 Avalon Blvd Ste 190
Carson, CA 90746-3708
Mailing address
PO Box 11369
Carson, CA 90749-1369
Phone (424) 340-2347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139685 | CA | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Image N You Ultrasound Studio LLC | Diagnostic Ultrasound | Current | Accepting new patients |
Locations
20700 Avalon Blvd
Ste 190
Carson, CA 90746
Phone (424) 340-2347
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Ultrasound Physician
- Carson, CA
- NPI 1669191672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1780321497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11369",
"city": "CARSON",
"state": "CA",
"postal_code": "907491369",
"telephone_number": "424-340-2347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20700 AVALON BLVD STE 190",
"city": "CARSON",
"state": "CA",
"postal_code": "907463708",
"telephone_number": "424-340-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "KENESHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-14",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "139685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
- Hebrews Home Healthcare Inc
- Alexandria Devon Heim, CMT
- Helping Kids to Recover, Inc.
- Helping Kids to Recover, Inc. (Dominguez High School)
- Dionne Lashon Henderson, PA-C
- Steven Henry
- Hercare Now Nursing Corporation (Hercare Now)
- Jamie Joyce Hermosura, FNP-BC
- Rosario Hernandez Ortiz, NBC-HWC
- Israel J Hernandez-Arce, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.