Molecular Imaging Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

042159 Issued in CA

Legal business name

MOLECULAR IMAGING CORPORATION

Doing business as

San Antonio Molecular Imaging

Practice address

7777 Milliken Ave
Suite 110
Rancho Cucamonga, CA 91730-6780

Phone

(909) 948-8034

NPI assigned

May 5, 2006

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth C Frederick

Title

Ceo

Phone

(858) 642-0032

Specialties & licenses 1

Addresses

Other names 1

• SAN ANTONIO MOLECULAR IMAGING Doing business as

Locations

Practitioners 1

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.

• Carl L Schultz, M.D.

  • Diagnostic Radiology Physician
  • Upland, CA
  • NPI 1598792236
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1689622060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 TOWNE CENTRE DR",
            "address_2": "SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211981",
            "telephone_number": "858-642-0032",
            "fax_number": "858-642-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE",
            "address_2": "SUITE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306780",
            "telephone_number": "909-948-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR IMAGING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-642-0032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "042159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN ANTONIO MOLECULAR IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lance R Mohr, MD
• Mojabe Enterprises, LLC (Mojabe Chiropractic)
• Elizabeth Cuevas Mojabe, D.C.
• Mohammad Reza Mojabe, D.C.
• Janet Mojica-Vargas
• Angie Tatiana Molina
• Giselle Molina
• Karen Molina
• Melanie Molina, DPT
• Valery Molina

• Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.