Molecular Imaging Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

481952 Issued in CA

Legal business name

MOLECULAR IMAGING CORPORATION

Doing business as

MBPT NO. 1 LLC

Practice address

350 Terracina Blvd
Redlands, CA 92373-4850

Phone

(909) 335-5500

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth C Frederick

Title

Ceo

Phone

(858) 642-0032

Specialties & licenses 1

Addresses

Other names 1

• MBPT NO. 1 LLC Doing business as

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1295783652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 TOWNE CENTRE DR",
            "address_2": "SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211981",
            "telephone_number": "858-642-0032",
            "fax_number": "858-642-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734850",
            "telephone_number": "909-335-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR IMAGING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-642-0032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "481952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MBPT NO. 1 LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amish Modi
• Bhaumikkumar Modi, PHARM.D.
• Mohammad Hossain MD Inc.
• Adnan Mohsin, MD
• Maria Molano, DDS
• Anne Molina
• Britney Molina
• Alma Leticia Moncada, M.S.
• Melinda Moneymaker
• Christina Monroe

• Clinic/Center in Redlands, CA
• Providers in Redlands, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.