MS. JESSICA DEYANIRA IZQUIERDO


Address: 8233 Scottsdale Dr, Sacramento, CA 95828-4530
Phone: 9165480230

MS. JESSICA DEYANIRA IZQUIERDO (NPI# 1992210850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992210850
Entity Type Individual
Full Name MS. JESSICA DEYANIRA IZQUIERDO
Other Name MS. JESSICA DEYANIRA IZQUIERDO
Credential RAD TECH
Practice Address 8233 Scottsdale Dr
Sacramento
CA 95828-4530
Practice Telephone 9165480230
Mailing Telephone 9165480230
Enumeration Date 2017-12-13
Last Update Date 2017-12-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
RHF00087758 CA Allopathic & Osteopathic Physicians
Y 2471C3401X Radiologic Technologist
Specialization: Computed Tomography
RHF00087758 CA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 8233 SCOTTSDALE DR
City SACRAMENTO
State CA
Zip Code 95828-4530

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Taxonomy Information

Taxonomy Code 2471C3401X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Computed Tomography

Taxonomy Definition

Definition to come...

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Competitor

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City SACRAMENTO
Zip Code 95828

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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