OrganizationActive
Jacaranda Radiology
NPI 1356620512 · Radiology Clinic/Center · Hesperia, CA
Jacaranda Radiology is a Radiology Clinic/Center organization in Hesperia, CA (NPI 1356620512).
Provider details
- NPI number
- 1356620512
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Abraham Wilson Inc
- Organization subpart
- Yes
- Authorized official
- Lakesha Scott, Administrative Manager(760) 956-2636
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12021 Jacaranda Ave Ste 104
Hesperia, CA 92345-4978
Phone: (760) 956-5561
Street-level locationGet directions
Mailing address
12021 Jacaranda Ave Ste 104
Hesperia, CA 92345-4978
Other names (DBA / former)
- Other name
- Jacaranda Imaging Center
Registry dates
- Enumerated
- 2011-08-05
- Last updated
- 2011-08-05
Frequently asked questions
- What is Jacaranda Radiology's NPI number?
- Jacaranda Radiology's National Provider Identifier (NPI) is 1356620512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacaranda Radiology?
- Jacaranda Radiology is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jacaranda Radiology located?
- Jacaranda Radiology's practice location on file with NPPES is 12021 Jacaranda Ave Ste 104, Hesperia, CA 92345-4978.
- What is Jacaranda Radiology's phone number?
- The practice phone number listed in the NPPES registry for Jacaranda Radiology is (760) 956-5561.
- Who is the authorized official for Jacaranda Radiology?
- The authorized official listed on Jacaranda Radiology's NPPES record is Lakesha Scott, Administrative Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacaranda Radiology's NPI active?
- Yes — Jacaranda Radiology's NPI (1356620512) is active in the NPPES registry as of the last update on 2011-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.