Active NPI
Maximal Intensity Projection LLC
- Mobile Radiology Clinic/Center
- Norwalk, CA
National Provider Identifier
1003412982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.