Active NPI
Gnosis for Her LLC
- Mobile Radiology Clinic/Center
- Corona, CA
National Provider Identifier
1508663683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- GNOSIS FOR HER LLC
- Practice address
- 286 Winfield Cir
Corona, CA 92878-4343 - Phone
- (714) 519-6611
- Fax
- (714) 202-6143
- NPI assigned
- Feb 26, 2025
- Last updated
- Feb 26, 2025
- Organization subpart
- Yes
- Parent organization
- MVML, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Collins
- Title
- Ceo
- Phone
- (949) 791-7881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
286 Winfield Cir
Corona, CA 92878-4343
Mailing address
300 Spectrum Center Dr Ste 200
Irvine, CA 92618-4987
Phone (714) 519-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260508000103 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0345718268 | Practice locations: Irvine, CA; Corona, CA |
National Provider Directory
National Provider Directory- Part of
- MVML Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
286 Winfield Cir
Corona, CA 92878
Phone (714) 519-6611
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Diagnostic Radiology Physician
- Brooks, GA
- NPI 1316944697
-
- Diagnostic Radiology Physician
- Decatur, GA
- NPI 1215919121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1508663683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SPECTRUM CENTER DR STE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926184987",
"telephone_number": "714-519-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 WINFIELD CIR",
"city": "CORONA",
"state": "CA",
"postal_code": "928784343",
"telephone_number": "714-519-6611",
"fax_number": "714-202-6143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GNOSIS FOR HER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MVML, INC.",
"enumeration_date": "2025-02-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-791-7881",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.