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SAN GABRIEL VALLEY DIAGNOSTIC CENTER MEDICAL GROUP
NPI 1790725141
Radiology - Diagnostic Radiology in West Covina, CA

Active since June 07, 2006
1509 W CAMERON AVE, SUITE D, WEST COVINA, CA 91790(626) 962-3525(626) 962-0032 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Gabriel Valley Diagnostic Center Medical Group NPPES

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

SAN GABRIEL VALLEY DIAGNOSTIC CENTER MEDICAL GROUP (NPI 1790725141) is a healthcare organization registered as a diagnostic radiology in West Covina, California and active in the NPI registry since June 2006. The organization lists Bharath Kumar Krishnasamy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1790725141
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSAN GABRIEL VALLEY DIAGNOSTIC CENTER MEDICAL GROUP
Location Address1509 W CAMERON AVE, SUITE DWest Covina, CA 91790-2725
Mailing Address1509 W Cameron Ave, Suite DWest Covina, CA 91790-2725 · (626) 962-3525 · Fax (626) 962-0032
Phone(626) 962-3525
Fax(626) 962-0032
Organization SubpartNo
Authorized OfficialBharath Kumar KrishnasamyMedical Director · (626) 962-3525
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 25, 2011
✔ NPI 1790725141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
1509 W CAMERON AVE, West Covina, CA 91790
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedW9904CA · Group Provider Number
OtherZZZ11986ZCA · Blue Shield Of Calif
MedicaidGR0023300CA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. DANICA CARMEL HOLT M.D.
Radiology (Diagnostic Radiology)
1509 W CAMERON AVE, SUITE D
WEST COVINA, CA 91790
Los Angeles County (626) 698-7266
ELISAMARIE CABRERA BSW
Counselor (Mental Health)
1509 W CAMERON AVE
WEST COVINA, CA 91790
Los Angeles County (626) 993-3000

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 San Gabriel Valley Diagnostic Center Medical Group's NPI number?

The NPI number for San Gabriel Valley Diagnostic Center Medical Group is 1790725141. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is San Gabriel Valley Diagnostic Center Medical Group located?

San Gabriel Valley Diagnostic Center Medical Group is located at 1509 W Cameron Ave Suite D, West Covina, CA 91790. The listed phone number is (626) 962-3525.

What is San Gabriel Valley Diagnostic Center Medical Group's specialty?

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

When was this NPI record last updated?

The NPPES record for San Gabriel Valley Diagnostic Center Medical Group was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.