SAN ANTONIO MOLECULAR IMAGING
NPI 1689622060
Clinic/Center in Rancho Cucamonga, CA
NPI Status: Active since May 05, 2006
Contact Information
7777 MILLIKEN AVE
SUITE 110
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 948-8034
- Organization
- Clinic/Center
- CLIA Number: 05D2100353
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 08-11-2025
About SAN ANTONIO MOLECULAR IMAGING
This page provides the complete NPI Profile along with additional information for San Antonio Molecular Imaging, a provider established in Rancho Cucamonga, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1689622060 assigned on May 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 042159 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as San Antonio Molecular Imaging. The authorized official of this NPI record is Mr. Kenneth C Frederick (Ceo)
- NPI
- 1689622060
- Provider Legal Name
- MOLECULAR IMAGING CORPORATION
- Other Organization Name
- SAN ANTONIO MOLECULAR IMAGING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7777 MILLIKEN AVE SUITE 110 RANCHO CUCAMONGA, CA 91730
- Location Phone
- (909) 948-8034
- Mailing Address
- 9530 TOWNE CENTRE DR SUITE 120 SAN DIEGO, CA 92121
- Mailing Phone
- (858) 642-0032
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-05-2006
- Last Update Date
- 09-06-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 042159
- License State
- CA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2100353
- Facility Type
- Community Clinic
- Certificate Effective Date
- August 12, 2023
- Certificate Expiration Date
- August 11, 2025
- Laboratory Director
- KEVIN PARKES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to San Antonio Molecular Imaging to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 6 | 2 | 2 | 0 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 12 | 2 | 4 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 2 + 2 + 4 + 0 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1689622060 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437104783 | DR. MARC R AVENT DO Individual | Family Medicine | 7777 MILLIKEN AVE STE 220 RANCHO CUCAMONGA, CA 91730 (909) 484-4234 |
| 1538105119 | DR. MARCEL SORIANO PH.D. Individual | Psychologist | 7777 MILLIKEN AVE SUITE 310 RANCHO CUCAMONGA, CA 91730 (909) 944-3559 |
| 1649297573 | OLUSOLA A. OYEMADE M.D. Individual | Pediatrics | 7777 MILLIKEN AVE SUITE 360 RANCHO CUCAMONGA, CA 91730 (909) 944-7099 |
| 1649304650 | DR. CARLOS TOMAS JORGE MARTINEZ D.O. Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 7777 MILLIKEN AVE SUITE 310 RANCHO CUCAMONGA, CA 91730 (909) 944-3797 |
| 1881810141 | EDWARD GEORGE VELAZQUEZ P.A. Individual | Physician Assistant | 7777 MILLIKEN AVE SUITE A RANCHO CUCAMONGA, CA 91730 (909) 948-8050 |
| 1053539908 | ARMIN VISHTEH, M.D., P.C. Organization | Ophthalmology | 7777 MILLIKEN AVE STE.125 RANCHO CUCAMONGA, CA 91730 (909) 980-8010 |
| 1922210004 | AVENT FAMILY MEDICAL CORPORATION Organization | Clinic/Center (Primary Care) | 7777 MILLIKEN AVE SUITE 220 RANCHO CUCAMONGA, CA 91730 (909) 484-4234 |
| 1942483862 | UNIVERSITY FOOT AND ANKLE INSTITUTE Organization | Podiatrist | 7777 MILLIKEN AVE BLDG. B SUITE 330 RANCHO CUCAMONGA, CA 91730 (909) 204-9700 |
| 1316199110 | DOHENY EYE MEDICAL GROUP, INC Organization | Clinic/Center | 7777 MILLIKEN AVE SUITE 125 RANCHO CUCAMONGA, CA 91730 (323) 442-7160 |
| 1427380112 | DV URGENT CARE Organization | Physician Assistant | 7777 MILLIKEN AVE SUITE A RANCHO CUCAMONGA, CA 91730 (909) 948-8050 |
| 1861776049 | JESSICA NICOLE VANDERKALLEN P.A-C Individual | Physician Assistant | 7777 MILLIKEN AVE RANCHO CUCAMONGA, CA 91730 (909) 948-8050 |
| 1114093101 | MS. JANET ELLEN URSUA RN MSN NP Individual | Nurse Practitioner | 7777 MILLIKEN AVE 240 RANCHO CUCAMONGA, CA 91730 (909) 941-0247 |
| 1740425719 | LOTHAR MCMILLIAN M D INC Organization | Family Medicine | 7777 MILLIKEN AVE STE 240 RANCHO CUCAMONGA, CA 91730 (909) 941-0247 |
| 1467630715 | ALLIANCE HEALTHCARE SERVICES INC Organization | Clinic/Center (Radiology, Mobile) | 7777 MILLIKEN AVE RANCHO CUCAMONGA, CA 91730 (909) 948-8031 |
| 1326526153 | NICOLE TRAVITZ DPT, ATC Individual | Physical Therapist | 7777 MILLIKEN AVE RANCHO CUCAMONGA, CA 91730 (909) 948-8080 |
| 1942631429 | NATALIE SUSAN DAO PA-C Individual | Physician Assistant | 7777 MILLIKEN AVE SUITE 310 RANCHO CUCAMONGA, CA 91730 (909) 944-3797 |
| 1881775088 | MS. BARBARA ADELE SANTA CRUZ P.A-C Individual | Physician Assistant | 7777 MILLIKEN AVE SUITE 240 RANCHO CUCAMONGA, CA 91730 (909) 941-0247 |
| 1831307651 | DV URGENT CARE MEDICAL GROUP INC Organization | Family Medicine | 7777 MILLIKEN AVE A RANCHO CUCAMONGA, CA 91730 (909) 948-8180 |
| 1225798127 | PIH HEALTH PHYSICIANS Organization | Internal Medicine (Interventional Cardiology) | 7777 MILLIKEN AVE SUITE 330 RANCHO CUCAMONGA, CA 91730 (909) 883-5315 |
| 1346357431 | ELIZABETH D CANETE MD Individual | Family Medicine (Adolescent Medicine) | 7777 MILLIKEN AVE 240 RANCHO CUCAMONGA, CA 91730 (909) 941-0247 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689622060, enumerated in the NPI registry as an "organization" on May 05, 2006
The provider is located at 7777 Milliken Ave Suite 110 Rancho Cucamonga, Ca 91730 and the phone number is (909) 948-8034
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 05D2100353 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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