Active NPI
San Gabriel Vip, a California Limited Partnership
Doing business as Valley Imaging Partnership
- Diagnostic Radiology Physician
- West Covina, CA
National Provider Identifier
1225258395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SAN GABRIEL VIP, A CALIFORNIA LIMITED PARTNERSHIP
- Doing business as
- Valley Imaging Partnership
- Practice address
- 1401 W Merced Ave
Suite 102
West Covina, CA 91790-3401 - Phone
- (626) 337-8707
- Fax
- (626) 337-0147
- NPI assigned
- Apr 30, 2007
- Last updated
- Nov 6, 2012
- 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. Donald Kaiserman, M.D.
- Title
- Medical Director
- Phone
- (626) 813-9988
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
1401 W Merced Ave
Suite 102
West Covina, CA 91790-3401
Mailing address
PO Box 635
West Covina, CA 91793-0635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0058272 | Medicaid | CA |
Other names 1
- Valley Imaging Partnership
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- West Covina, CA
- NPI 1891739108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1225258395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917930635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W MERCED AVE",
"address_2": "SUITE 102",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903401",
"telephone_number": "626-337-8707",
"fax_number": "626-337-0147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN GABRIEL VIP, A CALIFORNIA LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-30",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "KAISERMAN",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "626-813-9988",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0058272",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Imaging Partnership",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Covina, CA
- San Gabriel Valley Oral and Facial Surgery
- San Gabriel Valley Perinatal Medical Group, Inc
- San Gabriel Valley Sleep Lab, LLC
- San Gabriel Valley Surgical Center LP
- San Gabriel Vip a California Limited Partnership (Valley Imaging Partnership)
- San Gabriel Vip, a California Limited Partnership (Valley Imaging Partnership)
- San Jose Charter Academy
- Diana Brisa Sanchez Gomez, MD
- Abraham Sanchez, MSW
- Cheyanne Sanchez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.