Organization Active NPI

Gnosis for Her LLC

  • Mobile Radiology Clinic/Center
  • Corona, CA
National Provider Identifier
1508663683
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MVML, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

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.

Verify at the official NPI Registry.