San Gabriel Radiology Medical Group

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C33476 Issued in CA

Legal business name

SAN GABRIEL RADIOLOGY MEDICAL GROUP

Practice address

555 N Garfield Ave
Monterey Park, CA 91754-1202

Phone

(626) 572-0914

Fax

(626) 572-0914

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Sean Patrick Whalen, M.D.

Title

Ceo, President, Director

Phone

(626) 572-0914

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Floyd Clark Gardner, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1063515468
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1205010709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N GARFIELD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541202",
            "telephone_number": "626-572-0914",
            "fax_number": "626-572-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N GARFIELD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541202",
            "telephone_number": "626-572-0914",
            "fax_number": "626-572-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL RADIOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO, PRESIDENT, DIRECTOR",
        "authorized_official_telephone_number": "626-572-0914",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C33476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W22403",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan S C Lee,a Professional Dental Corporation
• Virginia Salas, RD
• Benjamin Esai Salinas
• Jennifer Salvador
• San Cristobal Medical Group
• San Gabriel Regional Dialysis Training Center, LLC
• San Gabriel Valley Consulting Pathologists Medical Group, Inc.
• San Gabriel Valley Consulting Pathologists Medical Group, Inc.
• San Gabriel Valley Physicians a.C.O. Group, a Medical Corporation
• Carla Sanchez

• Diagnostic Radiology Physician in Monterey Park, CA
• Providers in Monterey Park, 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 Mar 1, 2012; 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.