Excel Imaging

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

EXCEL IMAGING

Practice address

18158 US Highway 18
Apple Valley, CA 92307-2202

Phone

(323) 819-5053

NPI assigned

Mar 3, 2019

Organization subpart

No

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

Authorized official

Name

Robert Taracena

Title

Ceo

Phone

(323) 819-5053

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1831657402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11962 ALPINE DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923379072",
            "telephone_number": "323-819-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18158 US HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072202",
            "telephone_number": "323-819-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-03",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "TARACENA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-819-5053"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachery Eustance, PT, DPT
• Michael M Evangelista, PHARM.D.
• Bert Dewayne Evans, LVN
• David K Evans, DC
• George Edward Evashwick
• Express Walk-in Clinic
• Faculty Physicians and Surgeons of Llusm
• Alyssa Ann Faherty
• Farhad Mazi, DDS, a Professional Corporation
• Arvella Farrow

• Diagnostic Ultrasound Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Diagnostic Ultrasound Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.