Organization Active NPI

Valley Imaging Partnership-West Covina Pet LLC

  • Nuclear Medicine Physician
  • West Covina, CA
National Provider Identifier
1790812253
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
FAC64156 Issued in CA
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

Updated by the provider on Sep 22, 2016

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)CodeLicenseStatePrimary
Nuclear Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.