CMG CLINICAL LABORATORY AND ANCILLARY SERVICES, INC. (NPI# 1497809297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497809297 |
| Entity Type | Organization |
| Organization Name | CMG CLINICAL LABORATORY AND ANCILLARY SERVICES, INC. |
| Practice Address |
1866 N Orange Grove Ave Suite #101 Pomona CA 91767-3031 |
| Mailing Address |
1866 N Orange Grove Ave Suite # 202 Pomona CA 91767-3031 |
| Practice Telephone | 9096228451 |
| Practice Fax Number | 9096202560 |
| Mailing Telephone | 9093981550 |
| Mailing Fax Number | 9093981573 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | ADRIENNE M WALKER (CONTRACTS ADMINISTRATOR) |
| Authorized Official Telephone | 9093981550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 207U00000X | Nuclear Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1866 N ORANGE GROVE AVE SUITE #101 |
| City | POMONA |
| State | CA |
| Zip Code | 91767-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003817537 | Kenneth Spiers Brown | Internal Medicine | 1866 N Orange Grove Ave, Ste 102, Pomona, CA 91767-3031 | 2005-08-09 |
| 1174815427 | Tatiana Sams | Internal Medicine | 1866 N Orange Grove Ave, Suite # 104, Pomona, CA 91767-3031 | 2011-05-04 |
| 1548566284 | Richard M Deits | Internal Medicine | 1866 N Orange Grove Ave, Suite 102, Pomona, CA 91767-3031 | 2011-01-27 |
| 1336443100 | Puneet Ghayal | Internal Medicine | 1866 N Orange Grove Ave, Suite # 202, Pomona, CA 91767-3031 | 2011-01-07 |
| 1629381827 | Erin Allyson Kopp | Nurse Practitioner | 1866 N Orange Grove Ave, Suite 202, Pomona, CA 91767-3031 | 2010-07-16 |
| 1689837171 | Nilem Patel | Internal Medicine | 1866 N Orange Grove Ave, Suite 102, Pomona, CA 91767-3031 | 2008-07-07 |
| 1144494550 | Gaurav R Parikh | Internal Medicine | 1866 N Orange Grove Ave, Suite 202, Pomona, CA 91767-3031 | 2008-04-16 |
| 1861690141 | Nitanth Reddy Vangala | Internal Medicine | 1866 N Orange Grove Ave, Suite # 202, Pomona, CA 91767-3031 | 2007-07-06 |
| 1316140619 | Internal Medicine Medical Group | Internal Medicine | 1866 N Orange Grove Ave, Suite 102, Pomona, CA 91767-3031 | 2007-06-06 |
| 1609077197 | Manjusha Gupta | Internal Medicine | 1866 N Orange Grove Ave, Suite # 102, Pomona, CA 91767-3031 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 207U00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered. - American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950655 | Walter Mcmillan | Nuclear Medicine | 3740 Santa Rosalia Dr Apt 308, Los Angeles, CA 90008-3624 | 2020-04-15 |
| 1629441563 | David Marshall Shames | Nuclear Medicine | 2737 Claremont Blvd, Berkeley, CA 94705-1321 | 2015-10-31 |
| 1073915831 | Edward W. Tam | Nuclear Medicine | 810 Hallmark Dr, Redding, CA 96001-0151 | 2014-09-23 |
| 1619389665 | Robbie Kaveh Sooriash | Nuclear Medicine | 25856 Bellis Dr, Valencia, CA 91355-2054 | 2014-05-27 |
| 1417367079 | Mark S. Bettermon | Nuclear Medicine | 22233 Village 22, Camarillo, CA 93012 | 2014-05-05 |
| 1598104101 | Merlin Stanley Puterbaugh | Nuclear Medicine | 480 Lassen St, # 1, Los Altos, CA 94022-3986 | 2013-06-17 |
| 1104269729 | Shadfar Bahri | Nuclear Medicine | 200 Medical Plaza Suite B114, Los Angeles, CA 90095-5201 | 2013-04-12 |
| 1336404599 | John Richard White | Nuclear Medicine | 4400 Palos Verdes Dr E, Rancho Palos Verdes, CA 90275-6474 | 2012-07-12 |
| 1144506395 | Ella Yevdayev | Nuclear Medicine | 4510 E Pacific Coast Ste 320, Long Beach, CA 90804-6926 | 2011-11-01 |
| 1154602480 | Haluk Alibazoglu | Nuclear Medicine | 5536 Renaissance Ave, Unit No 3, San Diego, CA 92122-5673 | 2011-08-31 |
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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.