SAN GABRIEL RADIOLOGY MEDICAL GROUP
NPI 1205010709
Radiology - Diagnostic Radiology in Monterey Park, CA

NPI Status: Active since December 20, 2007

Contact Information

555 N GARFIELD AVE
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 572-0914
Fax: (626) 572-0914

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  • Organization
  • Radiology
  • Diagnostic Radiology

About SAN GABRIEL RADIOLOGY MEDICAL GROUP

San Gabriel Radiology Medical Group is a provider established in Monterey Park, California operating as a Radiology with a focus in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1205010709 assigned on December 2007. The practitioner's primary taxonomy code is 2085R0202X with license number C33476 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sean Patrick Whalen M.d. (Ceo, President, Director)

NPI
1205010709
Provider Name
SAN GABRIEL RADIOLOGY MEDICAL GROUP
Entity Type
Organization
Location Address
555 N GARFIELD AVE MONTEREY PARK, CA 91754
Location Phone
(626) 572-0914
Location Fax
(626) 572-0914
Mailing Address
555 N GARFIELD AVE MONTEREY PARK, CA 91754
Mailing Phone
(626) 572-0914
Mailing Fax
(626) 572-0914
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
12-20-2007
Last Update Date
03-01-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
C33476
License State
CA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SEAN PATRICK WHALEN M.D.

Authorized Official Title
CEO, PRESIDENT, DIRECTOR
Authorized Official Phone
(626) 572-0914

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
W22403OTHER (01)CAMEDICARE PTAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205010709
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220501070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 0 + 1 + 0 + 7 + 0 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1205010709 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710942255GARFIELD IMAGING CENTER LTD A CALIFORNIA LIMITED PARTNERSHIP
Organization
Physiological Laboratory555 N GARFIELD AVE
MONTEREY PARK, CA 91754
(626) 572-0912

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205010709, enumerated in the NPI registry as an "organization" on December 20, 2007

The provider is located at 555 N Garfield Ave Monterey Park, Ca 91754 and the phone number is (626) 572-0914

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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