MEDICARE: JUSHONA CAVINESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156F00000X	Technician/Technologist	CPT-02136751	CA

General Provider Information

NPI Number	:	1942130042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSHONA CAVINESS

Provider Business Mailing Address
First Line	:	44020 KIRKLAND AVE
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93535-3631
Country	:	US
Telephone Number	:	661-703-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	44020 KIRKLAND AVE
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93535-3631
Country	:	US
Telephone Number	:	661-703-2100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ JUSHONA CAVINESS ” Practice Location

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