| NPI | 1174901334 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2015-05-08 |
| Last Updated | 2015-05-08 |
| Authorized Official | Arlene Braham President Phone: 7609565057 |
| Mailing Address | 12021 Jacaranda Ave, Suite # 101 Hesperia, CA 92345-4978 United States Phone: (760) 956-5057 | Fax: (760) 948-2179 📍 View Map |
| Primary Practice Address | 12021 Jacaranda Ave, Suite # 101 Hesperia, CA 92345-4978 United States Phone: (760) 956-5057 | Fax: (760) 948-2179 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LX0106X – Nurse Practitioner, Occupational Health | CA | G066379 |
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About NPI 1174901334
Keen Medical Group Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174901334. The primary specialty listed is Nurse Practitioner, Occupational Health. The organization is located in Hesperia, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-05-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174901334?
NPI 1174901334 belongs to Keen Medical Group Inc, a Nurse Practitioner, Occupational Health in Hesperia, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174901334 active?
The current status of NPI 1174901334 in the NPPES registry is Active. The record was last updated on 2015-05-08.
What specialty is NPI 1174901334?
NPI 1174901334 is classified under the taxonomy Nurse Practitioner, Occupational Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174901334?
You can verify NPI 1174901334 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174901334?
The primary practice address on file for NPI 1174901334 is 12021 Jacaranda Ave, Hesperia, CA 92345-4978. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174901334 issued?
NPI 1174901334 was first issued (enumerated) on 2015-05-08. The NPPES record was last updated on 2015-05-08.
Practice Location Map
Keen Medical Group Inc is located at 12021 Jacaranda Ave, Hesperia, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Keen Medical Group Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174901334. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Occupational Health | G066379 | CA |