NPIMap

Organization Active NPI

Glendora Radiological Associates Inc

  • General Acute Care Hospital
  • Covina, CA
National Provider Identifier
1104106012
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A112453 Issued in CA
Legal business name
GLENDORA RADIOLOGICAL ASSOCIATES INC
Practice address
414 E San Bernardino Rd
Covina, CA 91723-1704
Phone
(626) 339-5464
Fax
(626) 331-2328
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Cathy Martinez
Title
Administrative Assistant
Phone
(626) 339-5464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A112453 CA Primary

Addresses

Primary practice location

414 E San Bernardino Rd
Covina, CA 91723-1704

Mailing address

PO Box 5010
Glendora, CA 91740-0735
Phone (626) 339-5464

National Provider Directory

National Provider Directory
Tax ID family
Glendora Radiological Associates Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1104106012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5010",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917400735",
            "telephone_number": "626-339-5464",
            "fax_number": "626-331-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231704",
            "telephone_number": "626-339-5464",
            "fax_number": "626-331-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDORA RADIOLOGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "626-339-5464"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A112453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.