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EMANATE HEALTH IMAGING
NPI 1093240004
Radiology - Diagnostic Radiology in Glendora, CA

Active since April 27, 2017CLIA 05D2118159 · Waiver
828 S GRAND AVE STE 104, GLENDORA, CA 91740(626) 963-2057(626) 963-4298 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2019, Jul 6, 2018, Apr 27, 2017 (3 updates tracked since 2017).

About Emanate Health Imaging NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMANATE HEALTH IMAGING (NPI 1093240004), doing business as Citrus Diagnostic Imaging Corp, is a healthcare organization registered as a diagnostic radiology in Glendora, California and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists David J Underwood, President, as its authorized official.

NPPES Registry Identity

NPI1093240004
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameEMANATE HEALTH IMAGING
Location Address828 S GRAND AVE STE 104Glendora, CA 91740
Mailing Address210 W. San Bernardino RoadCovina, CA 91723-1515 · (626) 732-3159 · Fax (626) 732-3194
Phone(626) 963-2057
Fax(626) 963-4298
Organization SubpartNo
Authorized OfficialDavid J UnderwoodPresident · (951) 236-8371
Enumeration DateApril 27, 2017
Last NPPES UpdateJuly 11, 20193 updates tracked since enumeration
✔ NPI 1093240004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
828 S GRAND AVE STE 104, Glendora, CA 91740
Open in Google Maps ↗

Other Names 1

Former Legal Business NameCitrus Diagnostic Imaging Corp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2118159

Emanate Health Imaging · Glendora, CA
Active · expires Aug 30, 2026
CLIA Number05D2118159
Laboratory TypeImaging Center
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorDavid Underwood
Laboratory Phone(626) 963-2057
Laboratory LocationEmanate Health Imaging828 S Grand Ave Ste 104, Glendora, CA 91740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AGUSTINUS SUHARDJA MD
Radiology (Diagnostic Radiology)
828 S GRAND AVE STE 104
GLENDORA, CA 91740
Los Angeles County (626) 963-2057

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emanate Health Imaging's NPI number?

The NPI number for Emanate Health Imaging is 1093240004. It was assigned to this organization in the NPPES registry on April 27, 2017. The provider was formerly known as Citrus Diagnostic Imaging Corp.

Where is Emanate Health Imaging located?

Emanate Health Imaging is located at 828 S Grand Ave Ste 104, Glendora, CA 91740. The listed phone number is (626) 963-2057.

What is Emanate Health Imaging's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Emanate Health Imaging hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2118159) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emanate Health Imaging was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.