CENTRELAKE MEDICAL GROUP INC NPI 1295051365

NPI Information

  • NPI: 1295051365
  • Provider Name: CENTRELAKE MEDICAL GROUP INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: CENTRELAKE IMAGING & ONCOLOGY
  • Address: 1433 N HOLLENBECK AVE
    SUITE 105
    COVINA, CA
    ZIP 91722
  • Phone: (909) 635-0411

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NPI Details

CENTRELAKE MEDICAL GROUP INC is a diagnostic radiology radiology in Covina, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CENTRELAKE MEDICAL GROUP INC NPI is 1295051365. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Centrelake Imaging & Oncology.

The provider's business location address is:

1433 N HOLLENBECK AVE
SUITE 105
COVINA, CA
ZIP 91722-558
Phone: (909) 635-0411

The provider's authorized official is Amar A Lapsi .
The authorized official title is Coo and has the following contact phone number (626) 331-6866.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • Screening mammography (HCPCS:77067)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)

The enumeration date for this NPI number is 4/14/2010 and was last updated on 5/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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