Individual provider Active NPI

Carey W. Gentry, CRT

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Azusa, CA
National Provider Identifier
1609320746
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
RHT00063982 Issued in CA
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

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
813805691OtherCAPORTABLE 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

LicenseStateTypeSpecialty
RHT00063982CAMDPortable X-ray and/or Other Portable Diagnostic Imaging Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Gentry Imaging Inc Portable X-Ray and/Or Other Portable Diagnostic Imaging Supplier CurrentSince Oct 30, 2022 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.

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.

Verify at the official NPI Registry.