Organization Active NPI

Home Related Services Inc

  • Mobile Radiology Clinic/Center
  • Glendale, CA
National Provider Identifier
1194749549
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
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

Updated by the provider on May 23, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
XR0599700MedicaidCA

Other names 1

  • California Mobile X-ray Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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

Verify at the official NPI Registry.