HEMET VALLEY IMAGING MEDICAL GROUP, INC.
NPI 1558337444
Specialist in Hemet, CA
- Organization
- Specialist
- CLIA Number: 05D0865794
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About HEMET VALLEY IMAGING MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for Hemet Valley Imaging Medical Group, Inc., a provider established in Hemet, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1558337444 assigned on February 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Frederick Eugene White D.o. (Medical Director / President)
- NPI
- 1558337444 Verify this NPI
- Provider Name
- HEMET VALLEY IMAGING MEDICAL GROUP, INC.
- Entity Type
- Organization
- Location Address
- 1001 E LATHAM AVE STE G HEMET, CA 92543
- Location Phone
- (951) 658-9243
- Mailing Address
- 1001 E LATHAM AVE STE G HEMET, CA 92543
- Mailing Phone
- (951) 658-9243
- Mailing Fax
- (951) 765-5415
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-28-2006
- Last Update Date
- 10-22-2015
- Code Navigator
Location Map
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| CR0888 | OTHER (01) | CA | RAILROAD MEDICARE |
| GR0051772 | MEDICAID (05) | CA | |
| ZZZ10897Z | MEDICARE ID-TYPE UNSPECIFIED (04) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0865794
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- MUSTAFA MAHDAVY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hemet Valley Imaging Medical Group, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
HEMET, CA 92543
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558337444, enumerated as an "organization" on February 28, 2006.
The provider is located at 1001 E LATHAM AVE STE G HEMET, CA 92543 and the phone number is (951) 658-9243.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
