Emanate Health Imaging

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

EMANATE HEALTH IMAGING

Practice address

828 S Grand Ave Ste 104
Glendora, CA 91740

Phone

(626) 963-2057

Fax

(626) 963-4298

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Mr. David J Underwood, MD

Title

President

Phone

(951) 236-8371

Specialties & licenses 1

Addresses

Other names 1

• Citrus Diagnostic Imaging Corp Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1093240004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W. SAN BERNARDINO ROAD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231515",
            "telephone_number": "626-732-3159",
            "fax_number": "626-732-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 S GRAND AVE STE 104",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-963-2057",
            "fax_number": "626-963-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANATE HEALTH IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-236-8371",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Diagnostic Imaging Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Edwin Oghoorian, DPM, Inc.
• Stephanie M Eiland, PMHNP
• Mohamed Elzanaty, RN
• Emanate Health Foothill Presbyterian Hospital
• Emanate Health Foothill Presbyterian Hospital (Foothill Presbyterian Hospital)
• Emanate Health Medical Group (Foothill Family Practice)
• Emergency Physicians at FPH, a Medical Corporation
• Emmanuel Health Care
• Encore Home Health
• Enna Home Health Care

• Diagnostic Radiology Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.