SAN GABRIEL VIP, A CALIFORNIA LIMITED PARTNERSHIP (NPI# 1225258395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225258395 |
| Entity Type | Organization |
| Organization Name | SAN GABRIEL VIP, A CALIFORNIA LIMITED PARTNERSHIP |
| Other Organization Name | VALLEY IMAGING PARTNERSHIP |
| Practice Address |
1401 W Merced Ave Suite 102 West Covina CA 91790-3401 |
| Mailing Address |
Po Box 635 West Covina CA 91793-0635 |
| Practice Telephone | 6263378707 |
| Practice Fax Number | 6263370147 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2012-11-06 |
| Authorized Official Name | DR. DONALD KAISERMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6268139988 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0058272 | 05 |
| Other Name | Type Code |
|---|---|
| Valley Imaging Partnership | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619908480 | San Gabriel Vip, A California Limited Partnership | Radiology | 1401 W Merced Ave, Suite 102, West Covina, CA 91790-3401 | 2006-07-06 |
| Street Address |
1401 W MERCED AVE SUITE 102 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326082876 | Kousha Zarnegar | Nuclear Medicine | 1401 W Merced Ave, Vip-wc Pet, West Covina, CA 91790-3401 | 2006-06-15 |
| 1184159899 | United Medical Radiology Network, Inc. | Clinic/Center | 1401 W Merced Ave, #102, West Covina, CA 91790-3401 | 2017-05-01 |
| 1144617416 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 1401 W Merced Ave, Suite 102, West Covina, CA 91790-3401 | 2015-04-23 |
| 1790812253 | Valley Imaging Partnership-west Covina Pet LLC | Nuclear Medicine | 1401 W Merced Ave, Suite 101, West Covina, CA 91790-3401 | 2007-02-28 |
| 1437250859 | Kevin Bradley Kaiserman | Pediatrics | 1401 W Merced Ave, Suite 101, West Covina, CA 91790-3401 | 2006-09-26 |
| 1619908480 | San Gabriel Vip, A California Limited Partnership | Radiology | 1401 W Merced Ave, Suite 102, West Covina, CA 91790-3401 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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 |
|---|---|---|---|---|
| 1366532814 | West Covina Medical Group, Inc. | Radiology | 1135 S Sunset Ave Ste 100, West Covina, CA 91790-3938 | 2006-10-13 |
| 1073561098 | Gerald Grossman | Radiology | 935 S Sunset Ave, West Covina, CA 91790-3408 | 2006-05-04 |
| 1427027499 | John B Fox | Radiology | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2006-03-14 |
| 1912348749 | Citrus Valley Radiologists Inc | Radiology | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2013-07-09 |
| 1740516236 | Lakeside Medical Assoicates, A Medical Group, Inc. | Radiology | 1135 S Sunset Ave, Suite 100, West Covina, CA 91790-3937 | 2009-10-19 |
| 1275781296 | Viprs, L.p. | Radiology | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2008-09-03 |
| 1578710612 | San Gabriel Valley Imaging Partnership | Radiology | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2008-08-20 |
| 1730384546 | Scott Kwok | Radiology | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2007-06-20 |
| 1518004373 | Katharine Tansavatdi | Radiology | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2007-01-31 |
| 1487715694 | Adil Mazhar | Radiology | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2006-12-12 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
Please comment or provide details below to improve the information on SAN GABRIEL VIP, A CALIFORNIA LIMITED PARTNERSHIP.
| 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.