Individual provider Active NPI

Monish Jatin Laxpati, M.D.

  • Diagnostic Radiology Physician
  • Pomona, CA
National Provider Identifier
1053552893
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A106370 Issued in CA
Practice address
2475 N Garey Ave
Pomona, CA 91767-2139
Phone
(909) 622-3166
Fax
(909) 622-8046
NPI assigned
Mar 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A106370 CA Primary

Addresses

Primary practice location

2475 N Garey Ave
Pomona, CA 91767-2139

Mailing address

2475 N Garey Ave
Pomona, CA 91767-2139
Phone (909) 622-3166

Other identifiers 1

IdentifierTypeStateIssuer
1053552893MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120713000413 CA Practitioner - Diagnostic Radiology 8022273291 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Alinea Imaging Associates IncGroup PAC ID 7113165986, 5 clinicians

Practice addresses (Care Compare)

12602 Amargosa Rd
Suite F
Victorville, CA 92392-7640
Phone (760) 261-5000

2475 N Garey Ave
Pomona, CA 91767-2139
Phone (909) 622-3166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A106370CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc CurrentSince Jun 18, 2021 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Jun 18, 2021 Accepting new patients
Shin MRI LLC CurrentSince Mar 1, 2021 Accepting new patients
Shin Imaging LLC CurrentSince Mar 1, 2021 Accepting new patients
Providence Medical Foundation CurrentSince Jul 1, 2021 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Oct 1, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Shin Imaging LLC CurrentSince Mar 1, 2021 Accepting new patients
Alinea Imaging Associates Inc Diagnostic Radiology CurrentSince Apr 6, 2013 Accepting new patients
Providence Medical Foundation CurrentSince Jul 1, 2021 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Oct 1, 2024 Accepting new patients
Dynamic Imaging Associates of California, Inc CurrentSince Oct 29, 2021 Accepting new patients

Locations

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

5832 Beach Blvd
Unit 104
Buena Park, CA 90621

15855 Pomona Rincon Rd
Ste 101
Chino Hills, CA 91709

8110 Mango Ave
Fontana, CA 92335
Phone (909) 427-1303

1125 E Spruce Ave
Ste 103
Fresno, CA 93720
Phone (553) 475-0286

1955 Sunny Crest Dr
Ste 110
Fullerton, CA 92835
Phone (310) 995-6689

13400 Jamboree Rd
Irvine, CA 92602
Phone (714) 263-9279

266 S Harvard Blvd
Ste 180
Los Angeles, CA 90004
Phone (213) 387-3002

2475 N Garey Ave
Pomona, CA 91767
Phone (909) 596-9997

1818 N Orange Grove Ave
Ste 101
Pomona, CA 91767
Phone (909) 622-3166

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

12602 Amargosa Rd
Ste F
Victorville, CA 92392
Phone (760) 261-5000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1053552893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672139",
            "telephone_number": "909-622-3166",
            "fax_number": "909-622-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672139",
            "telephone_number": "909-622-3166",
            "fax_number": "909-622-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAXPATI",
        "first_name": "MONISH",
        "middle_name": "JATIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A106370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053552893",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.