Active NPI
Riverside Elite Imaging , Inc
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Riverside, CA
National Provider Identifier
1790378016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- RIVERSIDE ELITE IMAGING , INC
- Practice address
- 21828 Cactus Ave
Riverside, CA 92518-3010 - Phone
- (951) 900-3000
- Fax
- (951) 900-1234
- NPI assigned
- Feb 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fady Alam
- Title
- Owner
- Phone
- (951) 900-3000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary | ||
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
21828 Cactus Ave
Riverside, CA 92518-3010
Mailing address
21828 Cactus Ave
Riverside, CA 92518-3010
Phone (951) 900-3000
National Provider Directory
National Provider DirectoryLocations
21828 Cactus Ave
Riverside, CA 92518
Phone (951) 900-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613520000000",
"number": "1790378016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21828 CACTUS AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925183010",
"telephone_number": "951-900-3000",
"fax_number": "951-900-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21828 CACTUS AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925183010",
"telephone_number": "951-900-3000",
"fax_number": "951-900-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE ELITE IMAGING , INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A",
"authorized_official_last_name": "ALAM",
"authorized_official_first_name": "FADY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-900-3000"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- Riverside County Regional Medical Center
- Riverside County Regional Medical Center
- Riverside County Superintendent of Schools
- Riverside County, Department of Mental Health
- Riverside Elite Advantage Care Home LLC
- Riverside Emergency Physicians Medical Group
- Riverside Equities LLC
- Riverside Eye Partners a Professional Medical Corporation
- Riverside Eye Specialists Medical Group Inc.
- Riverside Eye, Ear, Nose,Throat Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.