Active NPI
Olive Branch Diagnostic Imaging, Inc
- Sonography Radiologic Technologist
- Rancho Cucamonga, CA
National Provider Identifier
1316361785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 118133
- Legal business name
- OLIVE BRANCH DIAGNOSTIC IMAGING, INC
- Practice address
- 10722 Arrow Rte Ste 512
Rancho Cucamonga, CA 91730-4840 - Phone
- (909) 332-3334
- Fax
- (909) 233-3925
- NPI assigned
- Feb 6, 2014
- 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
- Tasha Stokes, RDMS
- Title
- Owner
- Phone
- (909) 332-3334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 118133 | CA | Primary |
Addresses
Primary practice location
10722 Arrow Rte Ste 512
Rancho Cucamonga, CA 91730-4840
Mailing address
10808 Foothill Blvd Ste 160-602
Rancho Cucamonga, CA 91730-3889
Phone (909) 332-3334
Other names 1
- Olive Branch Imaging
National Provider Directory
National Provider DirectoryLocations
10808 Foothill Blvd
Ste 160602
Rch Cucamonga, CA 91730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785888000000",
"number": "1316361785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10808 FOOTHILL BLVD STE 160-602",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303889",
"telephone_number": "909-332-3334",
"fax_number": "909-233-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10722 ARROW RTE STE 512",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304840",
"telephone_number": "909-332-3334",
"fax_number": "909-233-3925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVE BRANCH DIAGNOSTIC IMAGING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-06",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A",
"authorized_official_last_name": "STOKES",
"authorized_official_first_name": "TASHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-332-3334",
"authorized_official_credential": "RDMS"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": "CA",
"license": "118133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Olive Branch Imaging",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.