Peek a Boo 3D 4D Mobile Ultrasound

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

13-00722 Issued in CA

Legal business name

PEEK A BOO 3D 4D MOBILE ULTRASOUND

Practice address

14845 Monarch Blvd
B
Victorville, CA 92395-6023

Phone

(760) 241-4506

NPI assigned

Mar 11, 2014

Last updated

Mar 11, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

QUELIN IMAGINGAs reported in NPPES

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

Authorized official

Name

Jacqueline Hill

Title

Ceo

Phone

(760) 241-4506

Specialties & licenses 2

Addresses

Part of

Quelin Imaging

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1841616125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14845 MONARCH BLVD",
            "address_2": "B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923956023",
            "telephone_number": "760-241-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14845 MONARCH BLVD",
            "address_2": "B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923956023",
            "telephone_number": "760-241-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEEK A BOO 3D 4D MOBILE ULTRASOUND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUELIN IMAGING",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-241-4506"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "13-00722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Victorville, CA
• Providers in Victorville, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.