Elite Diagnostics Medical Corporation

Primary specialty

ContractorTaxonomy code 171W00000X

License

C35757 Issued in CA

Legal business name

ELITE DIAGNOSTICS MEDICAL CORPORATION

Practice address

1445 E Los Angeles Ave
Suite 203
Simi Valley, CA 93065-2817

Phone

(818) 893-7500

Fax

(818) 893-4425

NPI assigned

Apr 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Andrew Schwartz, M.D.

Title

Medical Director

Phone

(818) 893-7500

Specialties & licenses 1

Addresses

Tax ID family

Elite Diagnostics Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Elite Diagnostics Medical Corporation

  • Specialist
  • Santa Clarita, CA
  • NPI 1518141159
  NPD tax ID

Locations

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1134446024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940700",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930940700",
            "telephone_number": "818-893-7500",
            "fax_number": "818-893-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 E LOS ANGELES AVE",
            "address_2": "SUITE 203",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652817",
            "telephone_number": "818-893-7500",
            "fax_number": "818-893-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DIAGNOSTICS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-893-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "CA",
            "license": "C35757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica El-Masry, M.D.
• Elizabeth Klahr Eldakar, PA-C
• Electromed, Inc.
• Lynette Elhilu
• Dawn Eliades, MSN, RN
• Mario Martin Elizalde
• Aljo Batin Elizarde, FNP-C
• Darelle Faith Elizarde, RN
• Amal Elkhouli, MD
• Jaayda Ellingham, M.A., LMFT

• Contractor in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.