Active NPI
Valley Imaging Partnership-West Covina Pet LLC
- Nuclear Medicine Physician
- West Covina, CA
National Provider Identifier
1790812253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- FAC64156
- Legal business name
- VALLEY IMAGING PARTNERSHIP-WEST COVINA PET LLC
- Practice address
- 1401 W Merced Ave
Suite 101
West Covina, CA 91790-3401 - Phone
- (626) 338-8390
- Fax
- (626) 962-4657
- NPI assigned
- Feb 28, 2007
- 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
- Donald Kaiserman, M.D.
- Title
- Medical Director
- Phone
- (626) 813-9988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | FAC64156 | CA | Primary |
Addresses
Primary practice location
1401 W Merced Ave
Suite 101
West Covina, CA 91790-3401
Mailing address
PO Box 635
West Covina, CA 91793-0635
Phone (626) 338-8390
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474502400000",
"number": "1790812253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917930635",
"telephone_number": "626-338-8390",
"fax_number": "626-962-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W MERCED AVE",
"address_2": "SUITE 101",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903401",
"telephone_number": "626-338-8390",
"fax_number": "626-962-4657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY IMAGING PARTNERSHIP-WEST COVINA PET LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2016-09-22",
"status": "A",
"authorized_official_last_name": "KAISERMAN",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "626-813-9988",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "FAC64156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.