Individual provider Active NPI

Jessica Deyanira Izquierdo, RAD TECH

  • Computed Tomography Radiologic Technologist
  • Sacramento, CA
National Provider Identifier
1992210850
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X
License
RHF00087758 Issued in CA
Practice address
8233 Scottsdale Dr
Sacramento, CA 95828-4530
Phone
(916) 548-0230
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X RHF00087758 CA
Computed Tomography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471C3401X RHF00087758 CA Primary

Addresses

Primary practice location

8233 Scottsdale Dr
Sacramento, CA 95828-4530

Mailing address

8233 Scottsdale Dr
Sacramento, CA 95828-4530
Phone (916) 548-0230

Other names 1

  • Ms. Jessica Deyanira Izquierdo Former 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RHF00087758CAMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1992210850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8233 SCOTTSDALE DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958284530",
            "telephone_number": "916-548-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8233 SCOTTSDALE DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958284530",
            "telephone_number": "916-548-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO",
        "first_name": "JESSICA",
        "middle_name": "DEYANIRA",
        "name_prefix": "Ms.",
        "credential": "RAD TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "RHF00087758",
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "CA",
            "license": "RHF00087758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "IZQUIERDO",
            "middle_name": "DEYANIRA",
            "prefix": "MS.",
            "credential": "CT TECH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.