ANTIQUITES ET MEDECINE, INC. (NPI# 1346480183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346480183 |
Entity Type | Organization |
Organization Name | ANTIQUITES ET MEDECINE, INC. |
Other Organization Name | CITRUS EMPIRE POSITRON EMISSION TOMOGRAPHY MOBILE SERVICES |
Practice Address |
399 E 21st St San Bernardino CA 92404-4815 |
Mailing Address |
11420 Eton Ln Ste. A Riverside CA 92507-6619 |
Practice Telephone | 9098822266 |
Mailing Telephone | 9512043759 |
Mailing Fax Number | 9517878315 |
Enumeration Date | 2009-03-05 |
Last Update Date | 2009-03-05 |
Authorized Official Name | MRS. PAMELA LOSCUTOFF (SECRETARY/TREASURER) |
Authorized Official Telephone | 9512043759 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
NMTCB 004954 | CA | Technologists, Technicians & Other Technical Service Providers |
Other Name | Type Code |
---|---|
Citrus Empire Positron Emission Tomography Mobile Services | Doing Business As Name - Organization |
Street Address |
399 E 21ST ST |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92404-4815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699773275 | Young Joe Kwon | Radiology | 399 E 21st St, San Bernardino, CA 92404-4815 | 2005-07-08 |
1588273148 | Faculty Physicians and Surgeons of Llusm | Radiologic Technologist | 399 E 21st St, San Bernardino, CA 92404-4815 | 2020-07-29 |
1841576097 | Walter Alan Osias | Radiology | 399 E 21st St, San Bernardino, CA 92404-4815 | 2011-11-01 |
1083943260 | Adam Coen | Radiology | 399 E 21st St, San Bernardino, CA 92404-4815 | 2009-12-16 |
1760510879 | Tatiana Voci | Radiology | 399 E 21st St, San Bernardino, CA 92404-4815 | 2007-03-01 |
1477645489 | Joan Murad-haid | Specialist | 399 E 21st St, San Bernardino, CA 92404-4815 | 2006-09-28 |
1851309017 | Micheal G. Nespole | Radiology | 399 E 21st St, San Bernardino, CA 92404-4815 | 2006-08-04 |
1669405692 | Abhay Vaidya | Radiology | 399 E 21st St, San Bernardino, CA 92404-4815 | 2006-07-10 |
1356308795 | Eric Tsao | Radiology | 399 E 21st St, Palm Imaging Institute, San Bernardino, CA 92404-4815 | 2006-04-28 |
1215936778 | William Claude Buss | Radiology | 399 E 21st St, San Bernardino, CA 92404-4815 | 2005-07-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
Find all providers in zip 92404 |
Taxonomy Code | 2471N0900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Nuclear Medicine Technology |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629617923 | Melinda Elizabeth Summer | Radiologic Technologist | 3104 Cattleman St, Bakersfield, CA 93312-3307 | 2020-01-03 |
1609378199 | Vascular Imaging Professionals Inc. | Radiologic Technologist | 1061 N Shepard St Ste J, Anaheim, CA 92806-2818 | 2018-03-01 |
1194180182 | Steven Secrest | Radiologic Technologist | 3206 Colorado Pl, Costa Mesa, CA 92626-2233 | 2015-12-18 |
1386906485 | Andrea Toll | Radiologic Technologist | 4035 Lincoln Ave, Oakland, CA 94602-2429 | 2012-06-13 |
1255523338 | Dereje Tesfaye | Radiologic Technologist | 5715 Camerford Ave Apt 106, Los Angeles, CA 90038-3944 | 2007-08-13 |
1871712836 | Precision Diagnostic Imaging, Incorporated | Radiologic Technologist | 17814 Woodruff Ave Ste 3, Bellflower, CA 90706-7000 | 2007-04-25 |
1154464360 | Pet Imaging of San Francisco | Radiologic Technologist | 1700 California St Ste 480, San Francisco, CA 94109-4590 | 2007-02-15 |
1124120233 | Patrick James Laverty | Radiologic Technologist | 511 S Harbor Blvd Ste E, La Habra, CA 90631-9375 | 2006-09-01 |
1659394047 | Modern Nuclear, Inc. | Radiologic Technologist | 511 S Harbor Blvd, Bldg E, La Habra, CA 90631-9375 | 2006-07-26 |
1265062293 | Modern Nuclear, Inc | Radiologic Technologist | 511 S Harbor Blvd Ste E, La Habra, CA 90631-9375 | 2020-01-17 |
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City | SAN BERNARDINO |
Zip Code | 92404 |
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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.