DEL AMO PET IMAGING CENTER LLC (NPI# 1609814102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609814102 |
| Entity Type | Organization |
| Organization Name | DEL AMO PET IMAGING CENTER LLC |
| Practice Address |
3531 Fashion Way Torrance CA 90503-4807 |
| Mailing Address |
100 Bayview Cir Suite 400 Newport Beach CA 92660-2983 |
| Practice Telephone | 3103162424 |
| Mailing Telephone | 8005443215 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | STEVE MUELKEN (EXEC VP & CFO) |
| Authorized Official Telephone | 8005443215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
4834-19 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | P00189215 | 01 |
| CA | BLUE SHIELD | ZZZ09162Z | 01 |
| CA | EXE70140F | 05 |
| Street Address |
3531 FASHION WAY |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225011034 | Alessandra M Amadeo | Specialist | 3531 Fashion Way, Torrance, CA 90503-4807 | 2005-11-25 |
| 1316170012 | Little Company of Mary Ancillary Services Corporation | Clinic/Center | 3531 Fashion Way, Torrance, CA 90503-4807 | 2009-08-27 |
| 1073776746 | Valley Radiotherapy Associates Medical Group Inc | Radiology | 3531 Fashion Way, Torrance, CA 90503-4807 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669505277 | Mri Centers, Inc | Clinic/Center | 23441 Madison St Ste 100, Torrance, CA 90505-4734 | 2007-03-13 |
| 1316170012 | Little Company of Mary Ancillary Services Corporation | Clinic/Center | 3531 Fashion Way, Torrance, CA 90503-4807 | 2009-08-27 |
| 1043485626 | United Medical Radiology Network | Clinic/Center | 3640 Lomita Blvd, # 105, Torrance, CA 90505-3927 | 2008-04-24 |
| 1255529723 | Mri Centers | Clinic/Center | 23441 Madison St Ste 100, Torrance, CA 90505-4734 | 2007-10-10 |
| 1427148790 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3640 Lomita Blvd, Suite # 105, Torrance, CA 90505-3927 | 2006-10-14 |
| 1689775025 | Functional Restoration Medical Center, Inc | Clinic/Center | 3640 Lomita Blvd, Suite 105, Torrance, CA 90505-3927 | 2006-09-26 |
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| 1164049508 | Ohni Imaging Inc | Clinic/Center | 8631 W 3rd St # 945e, Los Angeles, CA 90048-5901 | 2020-07-01 |
| 1952924599 | Oracle Imaging Inc. | Clinic/Center | 6941 Brockton Ave, Riverside, CA 92506-3803 | 2020-05-18 |
| 1720625742 | F&m Radiology Medical Center Inc | Clinic/Center | 17779 Ventura Blvd # 100, Encino, CA 91316-3717 | 2019-12-09 |
| 1982240321 | United Care Foundation | Clinic/Center | 2233 Watt Ave Ste 120, Sacramento, CA 95825-0569 | 2019-11-20 |
| 1932744893 | Westcoast Radiology Associates Pllc | Clinic/Center | 4193 Flat Rock Dr Ste 200, Riverside, CA 92505-7113 | 2019-11-14 |
| 1518502087 | Ishraf Corporation | Clinic/Center | 5720 Stoneridge Mall Rd Ste 288, Pleasanton, CA 94588-2830 | 2019-11-08 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
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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.