ELITE DIAGNOSTIC, LLC (NPI# 1467606632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467606632 |
| Entity Type | Organization |
| Organization Name | ELITE DIAGNOSTIC, LLC |
| Other Organization Name | ELITE DIAGNOSTIC IMAGING |
| Practice Address |
725 N Shepard St Anaheim CA 92806-2836 |
| Mailing Address |
Po Box 27696 Anaheim CA 92809-0123 |
| Practice Telephone | 8663548968 |
| Practice Fax Number | 8663541115 |
| Mailing Telephone | 8663548968 |
| Mailing Fax Number | 8663541115 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | MR. LANDEN MIRALLEGRO (MANAGER) |
| Authorized Official Telephone | 7142370999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RM1200X |
Internal Medicine Specialization: Magnetic Resonance Imaging (MRI) |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Elite Diagnostic Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528378478 | Elite Diagnostic, LLC | Internal Medicine | 5824 Uplander Way, Culver City, CA 90230-6608 | 2010-10-13 |
| Street Address |
725 N SHEPARD ST |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92806-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942729249 | Clear View Imaging | Clinic/Center | 725 N Shepard St, Anaheim, CA 92806-2836 | 2017-09-18 |
| 1902327281 | Radiant Radiology Inc | Clinic/Center | 725 N Shepard St, Anaheim, CA 92806-2836 | 2017-06-27 |
| 1356609812 | Regional Medical Services | Clinic/Center | 725 N Shepard St, Anaheim, CA 92806-2836 | 2012-05-02 |
| 1790041648 | Gordian Medical Vii, LLC | Durable Medical Equipment & Medical Supplies | 725 N Shepard St, Anaheim, CA 92806 | 2012-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
| 1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| 1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
| 1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
| 1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
| 1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
| Find all providers in zip 92806 | ||||
| Taxonomy Code | 207RM1200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528378478 | Elite Diagnostic, LLC | Internal Medicine | 5824 Uplander Way, Culver City, CA 90230-6608 | 2010-10-13 |
| 1972713311 | Pacific Coast Mri Inc. | Internal Medicine | 2756 E Florence Ave, Huntington Park, CA 90255-5747 | 2007-05-23 |
| 1700996915 | Donald B. Beamon | Internal Medicine | 5901 E 7th St # 114, Long Beach, CA 90822-5201 | 2006-08-30 |
| 1497708002 | Broadway Imaging Medical Center | Internal Medicine | 140 North Glendale Ave, Glendale, CA 91206 | 2006-05-18 |
| 1841257110 | Diagnostic Services Inc | Internal Medicine | 7375 Golfcrest, San Diego, CA 92119-1610 | 2006-04-28 |
| 1932748324 | Alec Ryan Garcia | Internal Medicine | 24331 El Toro Rd, Laguna Woods, CA 92637-2752 | 2020-01-02 |
| 1821236910 | Regional Medical Services | Internal Medicine | 559 N Central Ave, Upland, CA 91786-4241 | 2009-01-27 |
| 1194936922 | Pacific Breast Care Medical Group, Inc. | Internal Medicine | 1640 Newport Blvd Ste 200, Costa Mesa, CA 92627-3786 | 2007-05-24 |
| 1275699019 | Defined Imaging, Inc., A Professional Medical Group | Internal Medicine | 18377 Beach Blvd, Suite 326, Huntington Beach, CA 92648-1381 | 2006-12-28 |
Please comment or provide details below to improve the information on ELITE DIAGNOSTIC, LLC.
| 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.