OLIVE BRANCH DIAGNOSTIC IMAGING, INC (NPI# 1316361785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316361785 |
| Entity Type | Organization |
| Organization Name | OLIVE BRANCH DIAGNOSTIC IMAGING, INC |
| Other Organization Name | OLIVE BRANCH IMAGING |
| Practice Address |
10722 Arrow Rte Suite 520 Rancho Cucamonga CA 91730-4808 |
| Mailing Address |
10808 Foothill Blvd Suite 160-602 Rancho Cucamonga CA 91730-3889 |
| Practice Telephone | 9093323334 |
| Practice Fax Number | 9092333925 |
| Mailing Telephone | 9093323334 |
| Mailing Fax Number | 9092333925 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | TASHA STOKES (OWNER) |
| Authorized Official Telephone | 9093323334 |
| Authorized Official Credential | RDMS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
118133 | CA | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Olive Branch Imaging | Other Name - Individual/Organization |
| Street Address |
10722 ARROW RTE SUITE 520 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285719542 | Sharon R Martinez | Chiropractor | 10722 Arrow Rte, Ste 610, Rancho Cucamonga, CA 91730-4808 | 2006-10-26 |
| 1811420748 | Timothy Abesamis | Behavioral Analyst | 10722 Arrow Rte, 616, Rancho Cucamonga, CA 91730-4808 | 2017-04-07 |
| 1568901684 | Christal N Crouch | Behavioral Analyst | 10722 Arrow Rte, 616, Rancho Cucamonga, CA 91730-4808 | 2017-02-22 |
| 1669850236 | Cardiac Center of America Inc | Specialist | 10722 Arrow Rte, Suite 304, Rancho Cucamonga, CA 91730-4808 | 2015-05-14 |
| 1659786309 | Amita Cloke | Counselor | 10722 Arrow Rte, Suite 314, Rancho Cucamonga, CA 91730-4808 | 2014-06-20 |
| 1073938049 | Divine Enlightenment Holistic Inc | Clinical Nurse Specialist | 10722 Arrow Rte, Suite 520, Rancho Cucamonga, CA 91730-4808 | 2014-02-27 |
| 1265874523 | Sarah Valenzuela | Counselor | 10722 Arrow Rte, Suite #314, Rancho Cucamonga, CA 91730-4808 | 2013-07-26 |
| 1104184761 | Angelus Home Health | Home Health | 10722 Arrow Rte, Unit 304-a, Rancho Cucamonga, CA 91730-4808 | 2012-05-01 |
| 1063646776 | Ana Cecilia Arce | Marriage & Family Therapist | 10722 Arrow Rte, Suite 308, Rancho Cucamonga, CA 91730-4808 | 2009-05-08 |
| 1407037575 | Pean Lai | Psychologist | 10722 Arrow Rte, Suite 510, Rancho Cucamonga, CA 91730-4808 | 2007-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203313 | Randy Michael Gines | Radiologic Technologist | 398 Cypress Ave Unit 321, South San Francisco, CA 94080-3775 | 2020-07-30 |
| 1689132532 | Kevork Krajian | Radiologic Technologist | 2645 Risa Dr, Glendale, CA 91208-2355 | 2019-03-11 |
| 1699264309 | Shih-kang Cheng | Radiologic Technologist | 6359 San Rufo Cir, Buena Park, CA 90620-3639 | 2018-05-08 |
| 1649777814 | Jaimini Samir Shah | Radiologic Technologist | 780 Berryessa St, Livermore, CA 94551-8891 | 2018-04-12 |
| 1205377686 | Iheart Imaging | Radiologic Technologist | 722 Gleneagle Ave, Hayward, CA 94544-7208 | 2017-03-17 |
| 1275079949 | Kristen Mitchell | Radiologic Technologist | 5940 E Pontiac Way, Fresno, CA 93727-7941 | 2017-01-18 |
| 1700320215 | Joy K Clay | Radiologic Technologist | 760 Saratoga Ave Apt Z105, San Jose, CA 95129-2435 | 2016-12-19 |
| 1780134379 | Katerina Boghosian | Radiologic Technologist | 11043 Scoville Ave, Sunland, CA 91040-2013 | 2016-10-07 |
| 1467809558 | Lizandra Vargas | Radiologic Technologist | 9414 Slauson Ave, Pico Rivera, CA 90660 | 2016-05-18 |
| 1316319726 | Happy Feet Imaging, Inc. | Radiologic Technologist | 13585 Whittier Blvd, Suite 104, Whittier, CA 90605-4442 | 2015-10-24 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
Please comment or provide details below to improve the information on OLIVE BRANCH DIAGNOSTIC IMAGING, INC.
| 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.