SOCAL MRI CENTERS (NPI# 1194154112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194154112 |
| Entity Type | Organization |
| Organization Name | SOCAL MRI CENTERS |
| Other Organization Name | MONTCLAIR OPEN MRI |
| Practice Address |
8891 Central Ave Suite C Montclair CA 91763-1618 |
| Practice Telephone | 9096248910 |
| Practice Fax Number | 9099128033 |
| Mailing Telephone | 9096248910 |
| Mailing Fax Number | 9099128033 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |
| Authorized Official Name | MR. HARRY GOLBAHAR (PRESIDENT) |
| Authorized Official Telephone | 9096248910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Montclair Open MRI | Doing Business As Name - Organization |
| Street Address |
8891 CENTRAL AVE SUITE C |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962428060 | Central Avenue Urgent Care Center | Clinic/Center | 8891 Central Ave, Montclair, CA 91763-1618 | 2006-07-14 |
| 1043775919 | Central Urgent Medical Care | Clinic/Center | 8891 Central Ave, Montclair, CA 91763-1618 | 2019-02-05 |
| 1336611813 | Beau Christian | Registered Nurse | 8891 Central Ave, Montclair, CA 91763-1618 | 2018-12-21 |
| 1720514466 | Kyungsoo Korinn Go | Physician Assistant | 8891 Central Ave, Montclair, CA 91763-1618 | 2017-05-01 |
| 1992259071 | Daniel Mccullough | Physician Assistant | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2016-08-07 |
| 1265898126 | Noor Dakkak | Physician Assistant | 8891 Central Ave, Montclair, CA 91763-1618 | 2016-01-07 |
| 1467821363 | Danielle Barrett | Physician Assistant | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2015-09-21 |
| 1396137329 | Gale Estelle Laidlaw | Nurse Practitioner | 8891 Central Ave, Montclair, CA 91763-1618 | 2015-02-27 |
| 1093115941 | Michelle Anne Matyseck | Physician Assistant | 8891 Central Ave, Montclair, CA 91763-1618 | 2014-08-28 |
| 1992120042 | Joann Enderica | Physician Assistant | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2014-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| Find all providers in zip 91763 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902123219 | Healthplus Imaging LLC | Clinic/Center | 8891 Central Ave # C, Montclair, CA 91763-1618 | 2010-04-26 |
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| 1679115000 | Del Norte Healthcare District | Clinic/Center | 550 E Washington Blvd Ste 400, Crescent City, CA 95531-8161 | 2019-10-17 |
| 1144879198 | Southern California Medical Imaging and Open Mri | Clinic/Center | 1809 Verdugo Blvd Ste 100, Glendale, CA 91208-1402 | 2019-09-11 |
| 1467925016 | Plus Imaging LLC | Clinic/Center | 9555 Foothill Blvd Ste A, Rancho Cucamonga, CA 91730-3576 | 2019-01-07 |
| 1275026478 | A Step Above Foot Care Inc | Clinic/Center | 3816 Woodruff Ave Ste 302, Long Beach, CA 90808-2146 | 2018-06-12 |
| 1225542665 | Peak Diagnostic | Clinic/Center | 8901 Activity Rd Ste 103, San Diego, CA 92126-4436 | 2017-11-21 |
| 1346775665 | Advantage Mri Roseville Lp | Clinic/Center | 2990 Lava Ridge Ct, Suite100, Roseville, CA 95661-3057 | 2017-04-24 |
| 1821484312 | Access Imaging, LLC | Clinic/Center | 1601 Ives Ave, C & D, Oxnard, CA 93033-1907 | 2015-04-10 |
| 1083007389 | Access Imaging, LLC | Clinic/Center | 4381 Brockton Ave, Riverside, CA 92501-3470 | 2015-03-11 |
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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.