Organization Active NPI

Riverside Elite Imaging , Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Riverside, CA
National Provider Identifier
1790378016
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
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

Updated by the provider on Feb 17, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.