SAN ANTONIO MOLECULAR IMAGING
NPI 1689622060
Clinic/Center in Rancho Cucamonga, CA
NPI Status: Active since May 05, 2006
Contact Information
7777 MILLIKEN AVE
SUITE 110
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 948-8034
- Organization
- Clinic/Center
- CLIA Number: 05D2100353
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 08-11-2027
About SAN ANTONIO MOLECULAR IMAGING
This page provides the complete NPI Profile along with additional information for San Antonio Molecular Imaging, a provider established in Rancho Cucamonga, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1689622060 assigned on May 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 042159 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as San Antonio Molecular Imaging. The authorized official of this NPI record is Mr. Kenneth C Frederick (Ceo)
- NPI
- 1689622060
- Provider Legal Name
- MOLECULAR IMAGING CORPORATION
- Other Organization Name
- SAN ANTONIO MOLECULAR IMAGING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7777 MILLIKEN AVE SUITE 110 RANCHO CUCAMONGA, CA 91730
- Location Phone
- (909) 948-8034
- Mailing Address
- 9530 TOWNE CENTRE DR SUITE 120 SAN DIEGO, CA 92121
- Mailing Phone
- (858) 642-0032
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-05-2006
- Last Update Date
- 09-06-2023
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 042159
- License State
- CA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 05D2100353
- Facility Type
- Community Clinic
- Certificate Effective Date
- August 12, 2025
- Certificate Expiration Date
- August 11, 2027
- Laboratory Director
- KEVIN PARKES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to San Antonio Molecular Imaging 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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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1689622060, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689622060, enumerated as an "organization" on May 05, 2006.
The provider is located at 7777 MILLIKEN AVE SUITE 110 RANCHO CUCAMONGA, CA 91730 and the phone number is (909) 948-8034.
Clinic/Center with taxonomy code 261Q00000X.
