Individual provider Active NPI

Irma Ann Juarez-Drew, DC

  • Chiropractor
  • Hesperia, CA
National Provider Identifier
1932277530
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22019 Issued in CA
Practice address
15679 Bear Valley Rd
Suite B
Hesperia, CA 92345-1791
Phone
(760) 948-4888
Fax
(760) 948-6400
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22019 CA Primary

Addresses

Primary practice location

15679 Bear Valley Rd
Suite B
Hesperia, CA 92345-1791

Mailing address

15679 Bear Valley Rd
Suite B
Hesperia, CA 92345-1791
Phone (760) 948-4888

Other identifiers 1

IdentifierTypeStateIssuer
DC0220190OtherCAMEDICARE PTAN

Other names 1

  • Mrs. Irma Ann Juarez-Drew Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1932277530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15679 BEAR VALLEY RD",
            "address_2": "SUITE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451791",
            "telephone_number": "760-948-4888",
            "fax_number": "760-948-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15679 BEAR VALLEY RD",
            "address_2": "SUITE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451791",
            "telephone_number": "760-948-4888",
            "fax_number": "760-948-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ-DREW",
        "first_name": "IRMA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DC0220190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRMA",
            "last_name": "JUAREZ-DREW",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.