KEEN MEDICAL GROUP INC
NPI 1174901334
Nurse Practitioner - Occupational Health in Hesperia, CA
NPI Status: Active since May 08, 2015
Contact Information
12021 JACARANDA AVE
SUITE # 101
HESPERIA, CA
ZIP 92345
Phone: (760) 956-5057
Fax: (760) 948-2179
- Organization
- Nurse Practitioner
- Occupational Health
- CLIA Number: 05D0971031
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-26-2026
About KEEN MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for Keen Medical Group Inc, a provider established in Hesperia, California operating as a Nurse Practitioner, focusing in occupational health . The healthcare provider is registered in the NPI registry with number 1174901334 assigned on May 2015. The practitioner's primary taxonomy code is 363LX0106X with license number G066379 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Arlene F Braham M.d. (President)
- NPI
- 1174901334
- Provider Name
- KEEN MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 12021 JACARANDA AVE SUITE # 101 HESPERIA, CA 92345
- Location Phone
- (760) 956-5057
- Location Fax
- (760) 948-2179
- Mailing Address
- 12021 JACARANDA AVE SUITE # 101 HESPERIA, CA 92345
- Mailing Phone
- (760) 956-5057
- Mailing Fax
- (760) 948-2179
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2015
- Last Update Date
- 05-08-2015
- Code Navigator
A nurse practitioner (NP) like Keen Medical Group Inc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Occupational Health
- Taxonomy Code
- 363LX0106X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- G066379
- License State
- CA
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0971031
- Facility Type
- Physician Office
- Certificate Effective Date
- December 27, 2024
- Certificate Expiration Date
- December 26, 2026
- Laboratory Director
- ARLENE F. BRAHAM MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Keen Medical Group Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174901334, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
HESPERIA, CA 92345
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174901334, enumerated as an "organization" on May 08, 2015.
The provider is located at 12021 JACARANDA AVE SUITE # 101 HESPERIA, CA 92345 and the phone number is (760) 956-5057.
Nurse Practitioner with taxonomy code 363LX0106X and a focus in Occupational Health.
