NPIMap

Organization Active NPI

Innovative Minimally Invasive Imaging & Therapeutics, Inc

  • Vascular & Interventional Radiology Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1952758849
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A92815 Issued in CA
Legal business name
INNOVATIVE MINIMALLY INVASIVE IMAGING & THERAPEUTICS, INC
Practice address
8283 Grove Ave Ste 207a
Rancho Cucamonga, CA 91730-3141
Phone
(401) 575-0308
Fax
(562) 548-7540
NPI assigned
May 20, 2016
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Dr. Malwinder S Singha, MDNPI 1972558203
Title
President
Phone
(401) 575-0308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A92815 CA Primary

Addresses

Primary practice location

8283 Grove Ave Ste 207a
Rancho Cucamonga, CA 91730-3141

Mailing address

PO Box 379
Pasadena, CA 91102-0379
Phone (401) 575-0308

Other practice location 1

11411 Brookshire Ave Ste 301
Downey, CA 90241-5009
Phone (401) 575-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161108001903 CA Part B Supplier - Clinic/Group Practice 9638458003 Receives reassigned benefits from 11 practitioners
Practice locations: Downey, CA; Rancho Cucamonga, CA; San Pedro, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2188126Innovative Minimally Invasive Imaging8283 Grove Ave Ste 207a, Rancho Cucamonga, CA 91730AccreditationMay 11, 2027
05D2188442Innovative Minimally Invasive Imaging &11411 Brookshire Ave Ate 301a, Downey, CA 90241AccreditationApr 6, 2027

National Provider Directory

National Provider Directory

Locations

11411 Brookshire Ave
Ste 301
Downey, CA 90241
Phone (562) 548-7530

9635 Monte Vista Ave
Ste 201
Montclair, CA 91763
Phone (562) 548-7530

281 E Colorado Blvd
Unit 379
Pasadena, CA 91102

8283 Grove Ave
Ste 207A
Rch Cucamonga, CA 91730
Phone (562) 249-1218

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1952758849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911020379",
            "telephone_number": "401-575-0308",
            "fax_number": "562-548-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE STE 207A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303141",
            "telephone_number": "401-575-0308",
            "fax_number": "562-548-7540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11411 Brookshire Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902415009",
            "country_code": "US",
            "telephone_number": "401-575-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATIVE MINIMALLY INVASIVE IMAGING & THERAPEUTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "SINGHA",
        "authorized_official_first_name": "MALWINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-575-0308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A92815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.