Active NPI
Home Related Services Inc
- Mobile Radiology Clinic/Center
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- HOME RELATED SERVICES INC
- Practice address
- 914 N Glendale Ave
Glendale, CA 91206-2129 - Phone
- (818) 242-7552
- Fax
- (818) 241-0248
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Serafin Montealto Garcia, MD
- Title
- President
- Phone
- (818) 242-7552
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | R059970 | CA | |
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
914 N Glendale Ave
Glendale, CA 91206-2129
Mailing address
914 N Glendale Ave
Glendale, CA 91206-2129
Phone (818) 242-7552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XR0599700 | Medicaid | CA |
Other names 1
- California Mobile X-ray
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080619000692 | CA | Part B Supplier - Portable X-Ray Supplier | 7315018272 | Practice locations: Glendale, CA |
| O20180529003253 | CA | Part B Supplier - Portable X-Ray Supplier | 7315018272 | Practice locations: Upland, CA |
Portable X-ray supplier certification: CCN 05X0009970
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CALIFORNIA MOBILE X-RAY
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Nov 8, 1988
- Last certification
- Feb 28, 2019
- Ownership / control type
- Corporation
- Facility address
- 914 N Glendale Ave (RHB 42486)
Glendale, CA 91206
National Provider Directory
National Provider DirectoryLocations
818 N Mountain Ave
Ste 203C
Upland, CA 91786
Phone (818) 242-7552
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Glendale, CA
- NPI 1821315490
-
- Diagnostic Radiology Physician
- Roanoke, VA
- NPI 1992768147
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1386694040
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1437139540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337731200000",
"number": "1194749549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 N GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912062129",
"telephone_number": "818-242-7552",
"fax_number": "818-241-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 N GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912062129",
"telephone_number": "818-242-7552",
"fax_number": "818-241-0248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME RELATED SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2012-05-23",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "SERAFIN",
"authorized_official_middle_name": "MONTEALTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-242-7552",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "CA",
"license": "R059970",
"primary": false
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XR0599700",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "California Mobile X-ray",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.