Organization Active NPI

Ca Medical Diagnostics Inc

  • Physiological Laboratory
  • Desert Hot Springs, CA
National Provider Identifier
1083852784
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CA MEDICAL DIAGNOSTICS INC
Practice address
12931 Brittany Rd
Desert Hot Springs, CA 92240-3545
Phone
(760) 288-0920
Fax
(818) 766-0600
NPI assigned
Feb 3, 2009
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Alexander Finkelshteyn
Title
President
Phone
(213) 760-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

12931 Brittany Rd
Desert Hot Springs, CA 92240-3545

Mailing address

PO Box 17852
Beverly Hills, CA 90209-3852
Phone (760) 288-0920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090914000384 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6002962255 Practice locations: Desert Hot Springs, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1083852784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17852",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902093852",
            "telephone_number": "760-288-0920",
            "fax_number": "818-766-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12931 BRITTANY RD",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922403545",
            "telephone_number": "760-288-0920",
            "fax_number": "818-766-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA MEDICAL DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "FINKELSHTEYN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-760-1600"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desert Hot Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.