PROCREATE 4D LLC (NPI# 1356887889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356887889 |
| Entity Type | Organization |
| Organization Name | PROCREATE 4D LLC |
| Other Organization Name | PROCREATE 4D |
| Practice Address |
5161 Pomona Blvd Ste 213 Los Angeles CA 90022-1749 |
| Practice Telephone | 6263160829 |
| Mailing Telephone | 6263160829 |
| Enumeration Date | 2017-01-08 |
| Last Update Date | 2017-01-08 |
| Authorized Official Name | JOSE FERNANDO FARIAS (CEO) |
| Authorized Official Telephone | 6263160829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
0002946802-0001- | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| procreate 4D | Doing Business As Name - Organization |
| Street Address |
5161 POMONA BLVD STE 213 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90022-1749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770028391 | Jose Fernando Farias | Radiology | 5161 Pomona Blvd Ste 213, Los Angeles, CA 90022-1749 | 2017-01-05 |
| 1578086807 | Aria Diagnostic Imaging LLC | Radiology | 5161 Pomona Blvd Ste 213, Los Angeles, CA 90022-1749 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1033699426 | Reachwell Home Health Inc | Home Health | 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 | 2018-08-15 |
| 1326528704 | Shelli Hernandez | Community Health Worker | Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 | 2018-08-15 |
| 1477071660 | East Los Angeles Womens Center | Counselor | 1431 S. Atlantic Blvd, Los Angeles, CA 90022 | 2017-09-07 |
| 1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
| 1437688843 | Maud D Legaspi | Social Worker | 5425 E. Pomona Blvd, Los Angeles, CA 90022 | 2017-06-08 |
| 1548793920 | Harbor Chiropractic, Inc., A Bahan Company | Chiropractor | 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 | 2017-04-04 |
| 1326590423 | Via Care Community Health Center | Clinic/Center | 501 S. Woods Ave, Los Angeles, CA 90022 | 2016-10-25 |
| 1780057950 | Monica Poomiwatracanont | Pharmacist | 5176 E. Whittier Blvd., Los Angeles, CA 90022 | 2015-11-10 |
| 1609277433 | Ethan C. A Lee Dental Inc. | Dentist | 6046 Whittier Blvd., Los Angeles, CA 90022 | 2014-09-11 |
| Find all providers in zip 90022 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548816531 | Bg Dx Inc | Radiology | 1750 N Beverly Glen Blvd, Los Angeles, CA 90077-2710 | 2019-08-14 |
| 1770028391 | Jose Fernando Farias | Radiology | 5161 Pomona Blvd Ste 213, Los Angeles, CA 90022-1749 | 2017-01-05 |
| 1629257449 | C.d.i. Services Corporation | Radiology | 8635 W 3rd St Ste 585-west, Los Angeles, CA 90048-6101 | 2007-10-29 |
| 1548355126 | Leon Keleshian | Radiology | 4668 Hollywood Blvd., Los Angeles, CA 90027-5408 | 2006-10-03 |
| 1538264288 | Hill Street Imaging Medical Group, Inc. | Radiology | 824 N. Hill Street, Los Angeles, CA 90012 | 2006-09-14 |
| 1477585602 | Spectrum Diagnostic Services Inc | Radiology | 1127 Wilshire Blvd Ste 1507, Los Angeles, CA 90017-4006 | 2006-07-07 |
| 1578086807 | Aria Diagnostic Imaging LLC | Radiology | 5161 Pomona Blvd Ste 213, Los Angeles, CA 90022-1749 | 2017-07-18 |
| 1861649121 | Medical Resource Solutions | Radiology | 3760 Motor Ave, Suite 318, Los Angeles, CA 90034-6404 | 2008-08-19 |
| 1952560203 | Physicians Resource Solutions, Inc. | Radiology | 3760 Motor Ave, Suite 318, Los Angeles, CA 90034-6404 | 2008-06-02 |
| 1487821591 | Access Medical Diagnostics, Inc. | Radiology | 149 S Barrington Ave, Suite 754, Los Angeles, CA 90049-3310 | 2008-05-08 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90022 |
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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.