NPIMap

Organization Active NPI

Antiquites Et Medecine, Inc.

  • Nuclear Medicine Technology Radiologic Technologist
  • San Bernardino, CA
National Provider Identifier
1346480183
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X
License
NMTCB 004954 Issued in CA
Legal business name
ANTIQUITES ET MEDECINE, INC.
Practice address
399 E 21St St
San Bernardino, CA 92404-4815
Phone
(909) 882-2266
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Mrs. Pamela Loscutoff
Title
Secretary/Treasurer
Phone
(951) 204-3759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Technology Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471N0900X NMTCB 004954 CA Primary

Addresses

Primary practice location

399 E 21St St
San Bernardino, CA 92404-4815

Mailing address

11420 Eton LN
Ste. a
Riverside, CA 92507-6619
Phone (951) 204-3759

Other names 1

  • Citrus Empire Positron Emission Tomography Mobile Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1346480183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 ETON LN",
            "address_2": "STE. A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076619",
            "telephone_number": "951-204-3759",
            "fax_number": "951-787-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044815",
            "telephone_number": "909-882-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIQUITES ET MEDECINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "LOSCUTOFF",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "951-204-3759",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "CA",
            "license": "NMTCB 004954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Empire Positron Emission Tomography Mobile Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.