Organization Active NPI

Maximal Intensity Projection LLC

  • Mobile Radiology Clinic/Center
  • Norwalk, CA
National Provider Identifier
1003412982
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
MAXIMAL INTENSITY PROJECTION LLC
Practice address
12191 Front St
Norwalk, CA 90650-4203
Phone
(562) 920-5292
Fax
(562) 920-5847
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Sherief Gamie, MD, PHD
Title
Medical Director/President
Phone
(949) 293-2662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

12191 Front St
Norwalk, CA 90650-4203

Mailing address

38 Clear CRK
Irvine, CA 92620-1272
Phone (949) 293-2662

National Provider Directory

National Provider Directory

Locations

12191 Front St
Norwalk, CA 90650
Phone (562) 202-3624

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1003412982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CLEAR CRK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201272",
            "telephone_number": "949-293-2662",
            "fax_number": "949-266-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12191 FRONT ST",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504203",
            "telephone_number": "562-920-5292",
            "fax_number": "562-920-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMAL INTENSITY PROJECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "GAMIE",
        "authorized_official_first_name": "SHERIEF",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "949-293-2662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.