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KEEN MEDICAL GROUP, INC.
NPI 1053456962
Family Medicine in Hesperia, CA

Active since February 20, 2007CLIA 05D0971031 · Microscopy
12021 JACARANDA AVE, HESPERIA, CA 92345(760) 956-5057(760) 948-2179 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keen Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEEN MEDICAL GROUP, INC. (NPI 1053456962) is a healthcare organization registered as a family medicine in Hesperia, California and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through December 26, 2026 and lists Arlene Braham, President, as its authorized official.

NPPES Registry Identity

NPI1053456962
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKEEN MEDICAL GROUP, INC.
Location Address12021 JACARANDA AVEHesperia, CA 92345-4978
Mailing Address12021 Jacaranda AveHesperia, CA 92345-4978 · (760) 956-5057 · Fax (760) 948-2129
Phone(760) 956-5057
Fax(760) 948-2179
Organization SubpartNo
Authorized OfficialArlene BrahamPresident · (760) 956-5057
Enumeration DateFebruary 20, 2007
Last NPPES UpdateMarch 3, 2011
✔ NPI 1053456962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G66379
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12021 JACARANDA AVE, Hesperia, CA 92345
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Other Identifiers 3

OtherZZZ64052ZCA · Blue Shield
Medicare ID-Type UnspecifiedZZZ23597ZCA
MedicaidGR0092540CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0971031

Keen Medical Group Inc · Hesperia, CA
Active · expires Dec 26, 2026
CLIA Number05D0971031
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorArlene F. Braham MD
Laboratory Phone(760) 956-5057
Laboratory LocationKeen Medical Group Inc12021 Jacaranda Rd Ste 101, Hesperia, CA 92345
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEEN MEDICAL GROUP INC
Nurse Practitioner (Occupational Health)
12021 JACARANDA AVE, SUITE # 101
HESPERIA, CA 92345
San Bernardino County (760) 956-5057
MRS. ADELA MERCEDES VALENZUELA CERTIFIED WON
Nurse Practitioner (Family)
12021 JACARANDA AVE
HESPERIA, CA 92345
San Bernardino County (760) 956-5334
LIZ C BENDEZU FNP
Nurse Practitioner (Family)
12021 JACARANDA AVE
HESPERIA, CA 92345
San Bernardino County (760) 956-5057
BRYAN A. GUNNOE, MD, INC.
Specialist
12021 JACARANDA AVE, SUITE 202
HESPERIA, CA 92345
San Bernardino County (760) 956-5200
ABRAHAM WILSON INC
Clinic/Center (Urgent Care)
12021 JACARANDA AVE, SUITE #100
HESPERIA, CA 92345
San Bernardino County (760) 956-2636
JAMIE LEE FERREIRA
Registered Nurse (Medical-Surgical)
12021 JACARANDA AVE
HESPERIA, CA 92345
San Bernardino County (760) 956-5057
SAMUEL G WILSON MD
Emergency Medicine
12021 JACARANDA AVE, 101
HESPERIA, CA 92345
San Bernardino County (760) 956-5057
MRS. PAMELA BRYANT
Nurse Practitioner (Family)
12021 JACARANDA AVE
HESPERIA, CA 92345
San Bernardino County (760) 956-5057

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keen Medical Group, Inc.'s NPI number?

The NPI number for Keen Medical Group, Inc. is 1053456962. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Keen Medical Group, Inc. located?

Keen Medical Group, Inc. is located at 12021 Jacaranda Ave, Hesperia, CA 92345. The listed phone number is (760) 956-5057.

What is Keen Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Keen Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0971031) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keen Medical Group, Inc. was last updated on March 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.