Gentry Imaging Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

GENTRY IMAGING INC

Practice address

333 E Rainbow Dr
Azusa, CA 91702-2134

Phone

(626) 487-9992

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Imelda Macklin

Title

Coo/Am

Phone

(626) 487-9992

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Portable X-ray supplier certification: CCN 05X0010079

Legal name

GENTRY IMAGING, INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

May 21, 2024

Last certification

May 20, 2024

Ownership / control type

Individual

Facility address

333 East Rainbow Drive
Azusa, CA 91702

Practitioners 1

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

• Carey W. Gentry, CRT

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Azusa, CA
  • NPI 1609320746
  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1508583188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1537",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910175537",
            "telephone_number": "626-487-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E RAINBOW DR",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022134",
            "telephone_number": "626-487-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTRY IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "MACKLIN",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_title_or_position": "COO/AM",
        "authorized_official_telephone_number": "626-487-9992"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherlyn Garcia
• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Garrett Dacker DDS Inc
• Sean Michael Gateley, PT, ATC
• Carey W. Gentry, CRT
• Shirley Gettings
• Susan Godbey
• Marshall Dean Godfrey
• Theresa Godley

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Azusa, CA
• Providers in Azusa, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.