Active NPI
Carey W. Gentry, CRT
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Azusa, CA
National Provider Identifier
1609320746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- License
- RHT00063982
- Practice address
- 333 E Rainbow Dr
Azusa, CA 91702-2134 - Phone
- (626) 487-9992
- NPI assigned
- Aug 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | RHT00063982 | CA | Primary |
Addresses
Primary practice location
333 E Rainbow Dr
Azusa, CA 91702-2134
Mailing address
P.O. Box 1537
Monrovia, CA 91017
Phone (626) 595-0657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 813805691 | Other | CA | PORTABLE X-RAY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHT00063982 | CA | MD | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentry Imaging Inc | Portable X-Ray and/Or Other Portable Diagnostic Imaging Supplier | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Azusa, CA
- NPI 1508583188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1609320746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1537",
"city": "MONROVIA",
"state": "CA",
"postal_code": "91017",
"telephone_number": "626-595-0657",
"fax_number": "626-628-1791"
},
{
"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": {
"last_name": "GENTRY",
"first_name": "CAREY",
"middle_name": "W.",
"credential": "CRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-06",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "CA",
"license": "RHT00063982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PORTABLE X-RAY",
"identifier": "813805691",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Azusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.