CENTRELAKE MEDICAL GROUP INC NPI 1760721112

NPI Information

  • NPI: 1760721112
  • Provider Name: CENTRELAKE MEDICAL GROUP INC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: CENTRELAKE IMAGING & ONCOLOGY
  • CLIA Number: 05D2071493
  • Address: 1700 W WEST COVINA PKWY
    WEST COVINA, CA
    ZIP 91790
  • Phone: (909) 242-7300

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NPI Details

CENTRELAKE MEDICAL GROUP INC is a radiology clinic center in West Covina, CA. CENTRELAKE MEDICAL GROUP INC NPI is 1760721112. The provider is registered as an organization entity type.
The provider Is Doing Business As Centrelake Imaging & Oncology.

The provider's business location address is:

1700 W WEST COVINA PKWY
WEST COVINA, CA
ZIP 91790-706
Phone: (909) 242-7300
Fax: (909) 784-3760

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

The CLIA number assigned to this NPI record is 05D2071493 - ambulatory surgery center with a certificate type of Certificate of Waiver.

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)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Screening mammography (HCPCS:77067)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml (HCPCS:A9579)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of hand, 2 views (HCPCS:73120)
  • X-ray of ankle, 2 views (HCPCS:73600)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of both hips, 3-4 views (HCPCS:73522)

The enumeration date for this NPI number is 2/5/2013 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
1261QR0200XClinic/CenterRadiologyFNP34299CALIFORNIAYes

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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