NPIMap

Organization Active NPI

Citrus Medical Imaging Associates, Inc.

  • Nuclear Radiology Physician
  • West Covina, CA
National Provider Identifier
1992801211
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
C24928 Issued in CA
Legal business name
CITRUS MEDICAL IMAGING ASSOCIATES, INC.
Practice address
1000 Lakes Dr
Suite 170
West Covina, CA 91790
Phone
(626) 869-0293
Fax
(626) 869-0310
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Ivan W Rosen, M.D.NPI 1588687255
Title
Managing Partner
Phone
(626) 814-2460

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085B0100X C24928 CA
Nuclear Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085N0904X C24928 CA Primary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X C24928 CA

Addresses

Primary practice location

1000 Lakes Dr
Suite 170
West Covina, CA 91790

Mailing address

PO Box 628
West Covina, CA 91793-0628
Phone (626) 814-2460

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ75960ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

1000 Lakes Dr
Ste 170
West Covina, CA 91790
Phone (626) 869-0293

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992801211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917930628",
            "telephone_number": "626-814-2460",
            "fax_number": "626-814-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAKES DR",
            "address_2": "SUITE 170",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-869-0293",
            "fax_number": "626-869-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS MEDICAL IMAGING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "626-814-2460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "C24928",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "C24928",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C24928",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75960Z",
            "state": "CA"
        }
    ],
    "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 11, 2025; 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.