Landes Mobile X-Ray Corp

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

LANDES MOBILE X-RAY CORP

Practice address

2096 Felsina Ave
Manteca, CA 95337-8111

Phone

(209) 572-5888

Fax

(209) 543-0923

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Amandeep SinghNPI 1437868023

Title

Owner/President

Phone

(408) 406-6890

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Portable X-ray supplier certification: CCN 05X0010013

Legal name

LANDES MOBILE X-RAY CORP

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Mar 21, 2002

Last certification

Nov 20, 2024

Ownership / control type

Corporation

Facility address

2096 Felsina Ave
Manteca, CA 95337

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amandeep Singh, RT

  • Radiologic Technologist
  • Manteca, CA
  • NPI 1437868023
  NPD Authorized official
• Victor Santos Flauta, M.D.

  • General Practice Physician
  • Fresno, CA
  • NPI 1932148905
  NPD (past)
• Steven Douglas Landes, RT

  • Radiologic Technologist
  • Modesto, CA
  • NPI 1316978679
  NPD (past)

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1710158449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2096 FELSINA AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378111",
            "telephone_number": "209-572-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2096 FELSINA AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378111",
            "telephone_number": "209-572-5888",
            "fax_number": "209-543-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDES MOBILE X-RAY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "408-406-6890"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "RHT42681",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruperto Labaria
• Richard Labelle, PSY. D.
• Amanda Marie Ladue, DPT
• Hong V Lam, LVN
• Kimberly Lam
• Bailey Isabel Landgraf
• Carena Lane
• Kathryn A Langham, MD
• Chyna Mae Pacpaco Lao
• Laura Leticia Lares

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Manteca, CA
• Providers in Manteca, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.