IV-Profusion

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

IV-PROFUSION

Practice address

655 W Arrow Hwy Unit 38
San Dimas, CA 91773-2936

Phone

(626) 260-3115

Fax

(844) 892-1555

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Ronald Irving Jacoby, MD

Title

Medical Director

Phone

(626) 260-3115

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1891522850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W ROUTE 66 APT 202",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404143",
            "telephone_number": "626-260-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W ARROW HWY UNIT 38",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732936",
            "telephone_number": "626-260-3115",
            "fax_number": "844-892-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV-PROFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "IRVING",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-260-3115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rosanna Wadie Iskander, M.D.
• Habib Ali Ismail, MD
• Marisol Isusquiza, PHARMD
• Lanny Jachin, PT
• Danielle Sheree Jackson
• Aamir Zain Jamal, M.D.
• Elhama Jami
• Jasmine Rae Jancan

• Infusion Therapy Clinic/Center in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Infusion Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.