KENSINGTON DIAGNOSTICS LLC (NPI# 1992125231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992125231 |
Entity Type | Organization |
Organization Name | KENSINGTON DIAGNOSTICS LLC |
Practice Address |
36243 Inland Valley Dr Ste 10 Wildomar CA 92595-9549 |
Practice Telephone | 9517357246 |
Practice Fax Number | 9512689516 |
Mailing Telephone | 9517357246 |
Mailing Fax Number | 9512689516 |
Enumeration Date | 2014-04-25 |
Last Update Date | 2014-04-25 |
Authorized Official Name | DR. SANJOY BANERJEE (OWNER) |
Authorized Official Telephone | 9097321161 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | CA | Laboratories |
Street Address |
36243 INLAND VALLEY DR STE 10 |
City | WILDOMAR |
State | CA |
Zip Code | 92595-9549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962405142 | Mohammad Kaleem Uddin | Neurological Surgery | 36243 Inland Valley Dr, Ste 210, Wildomar, CA 92595-9549 | 2005-05-23 |
1063074904 | Jaelynne Michelle Allen | Nurse Practitioner | 36243 Inland Valley Dr, Wildomar, CA 92595-9549 | 2019-07-01 |
1780037432 | Mission Surgical Group | Clinic/Center | 36243 Inland Valley Dr, Suite 280, Wildomar, CA 92595-9549 | 2016-07-18 |
1013373398 | Danielle Merchant Martin | Nurse Practitioner | 36243 Inland Valley Dr, Wildomar, CA 92595-9549 | 2016-01-03 |
1386064624 | Rochester Imperial Surgical Center LLC | Clinic/Center | 36243 Inland Valley Dr, Ste 10, Wildomar, CA 92595-9549 | 2014-04-25 |
1235431172 | Inscriptions Children's Clinic | Clinic/Center | 36243 Inland Valley Dr, Suite #80, Wildomar, CA 92595-9549 | 2010-11-29 |
1043445208 | Reliance Best Pharmacy LLC | Pharmacy | 36243 Inland Valley Dr, #130, Wildomar, CA 92595-9549 | 2009-05-18 |
1801088869 | Joan Amador | Marriage & Family Therapist | 36243 Inland Valley Dr, Suite 50, Wildomar, CA 92595-9549 | 2007-08-14 |
1154467561 | Abdul S. Farzin M.d., Inc | Family Medicine | 36243 Inland Valley Dr, Suite 240, Wildomar, CA 92595-9549 | 2007-01-30 |
1053465625 | Carmeleene Suarez Baguio | Registered Nurse | 36243 Inland Valley Dr, 110, Wildomar, CA 92595-9549 | 2007-01-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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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.