Organization Active NPI

Sonome Diagnostic Medical Inc.

  • Sonography Radiologic Technologist
  • Glendora, CA
National Provider Identifier
1841126695
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
SONOME DIAGNOSTIC MEDICAL INC.
Practice address
620 W Route 66 Ste 107
Glendora, CA 91740-4166
Phone
(951) 289-7102
NPI assigned
Jun 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Jillian Nicole Caceres, RDMS
Title
Ceo
Phone
(951) 289-7102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471S1302X Primary

Addresses

Primary practice location

620 W Route 66 Ste 107
Glendora, CA 91740-4166

Mailing address

620 W Route 66 Ste 107
Glendora, CA 91740-4166
Phone (951) 289-7102

National Provider Directory

National Provider Directory

Locations

620 W Route 66
Ste 107
Glendora, CA 91740

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1841126695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 107",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404166",
            "telephone_number": "951-289-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 107",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404166",
            "telephone_number": "951-289-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOME DIAGNOSTIC MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-289-7102",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.