CENTRELAKE MEDICAL GROUP, INC. (NPI# 1689800377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689800377 |
| Entity Type | Organization |
| Organization Name | CENTRELAKE MEDICAL GROUP, INC. |
| Other Organization Name | CENTRELAKE IMAGING & ONCOLOGY |
| Practice Address |
1555 N Orange Grove Ave Pomona CA 91767-3811 |
| Mailing Address |
3115 E Guasti Rd Ontario CA 91761-7853 |
| Practice Telephone | 9096350411 |
| Practice Fax Number | 9096350441 |
| Mailing Telephone | 9096350411 |
| Mailing Fax Number | 9096350441 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2010-10-29 |
| Authorized Official Name | MR. AMAR LAPSI (COO) |
| Authorized Official Telephone | 6263316866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centrelake Imaging & Oncology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629636006 | Centrelake Medical Group, Inc. | Radiology | 5562 Philadelphia St Ste 100, Chino, CA 91710-2482 | 2019-05-31 |
| 1104293216 | Centrelake Medical Group, Inc. | Clinic/Center | 10226 Lakewood Blvd, Downey, CA 90241-2742 | 2015-08-24 |
| 1639137938 | Centrelake Medical Group, Inc. | Clinic/Center | 3115 E Guasti Rd, Ontario, CA 91761-7853 | 2006-05-03 |
| Street Address |
1555 N ORANGE GROVE AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-3811 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053552893 | Monish Jatin Laxpati | Radiology | 2475 N Garey Ave, Pomona, CA 91767-2139 | 2009-03-06 |
| 1902825524 | Joey George Philip | Radiology | 7 Palisades Ct, Pomona, NY 10970-2705 | 2006-07-18 |
| 1932127602 | Robert Steven Rippner | Radiology | 1902 Royalty Dr Ste 220, Pomona, CA 91767-3056 | 2006-07-18 |
| 1255313318 | Alexander J Chien | Radiology | 1798 N Garey Ave, Pomona, CA 91767 | 2005-11-15 |
| 1376884221 | Monish Laxpati, M.d., Inc. | Radiology | 2475 N Garey Ave, Pomona, CA 91767-2139 | 2013-03-01 |
| 1225253081 | Christina Wei Tsao | Radiology | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2007-04-16 |
| 1962550376 | Daniel R Heitz | Radiology | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2007-01-08 |
| 1619068921 | Claremont Imaging Associates, A Medical Corporation | Radiology | 255 E Bonita Avenue, Pomona, CA 91769 | 2006-09-28 |
| 1467469965 | Warren Becker | Radiology | 1902 Royalty Dr, Suite 220, Pomona, CA 91767-3030 | 2006-08-01 |
| 1104831577 | Lyle Wessley Royer | Radiology | 1902 Royalty Dr, Suite 220, Pomona, CA 91767-3030 | 2006-07-31 |
| Find all providers in POMONA | ||||
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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.