Conquest Medical, Inc.

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

CONQUEST MEDICAL, INC.

Practice address

2355 Foothill Blvd Ste 146
La Verne, CA 91750-3027

Phone

(562) 805-1876

NPI assigned

Jan 25, 2011

Organization subpart

No

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

Authorized official

Name

Joe Wright

Title

Ceo

Phone

(909) 481-8279

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1922303718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 SANTA ANITA AVE",
            "address_2": "103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-481-8279",
            "fax_number": "909-980-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 FOOTHILL BLVD STE 146",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503027",
            "telephone_number": "562-805-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUEST MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-481-8279"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Consumerhealth, Inc. (Newport Dental - La Verne (ORTHO))
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• Cynthia Emma Contreras, MASTERS
• Shannon Marie Cook, N.P.
• Core Transformation Physical Therapy Inc

• Electroneurodiagnostic Specialist/Technologist in La Verne, CA
• Providers in La Verne, CA by specialty
• Electroneurodiagnostic Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.