X-Ray Medical Group Inc

NPI 1740232776ActiveOrganization· Radiology, Diagnostic Radiology· La Mesa, CA

Radiology, Diagnostic Radiology in La Mesa, California, registered in NPPES in May 2006. The authorized official on file is Harry Peter Ellison, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1740232776
Status	Active
Entity type	Organization
NPI issued	May 17, 2006
Last updated in NPPES	Jun 20, 2024
Certified by provider	Jun 20, 2024

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (PR); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (VT); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI); Part B Supplier - Clinic/Group Practice (WY)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (PR); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (VT); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI); Part B Supplier - Clinic/Group Practice (WY)

Medicare sources and data years

Other diagnostic radiologists in La Mesa

Juan Carlos Vera, M.D.
La Mesa, CA · Individual
1093193427
Michael Khanjyan
La Mesa, CA · Individual
1205323219
James C. Jacobsen, MD
La Mesa, CA · Individual
1356394811
Thomas J. Brannigan, MD
La Mesa, CA · Individual
1598710030
Vijay B. Venkatesh, MD
La Mesa, CA · Individual
1689627085
Grossmont Imaging, LLC
La Mesa, CA · Organization
1144276189
Scott Carey Honowitz, M.D.
La Mesa, CA · Individual
1346684156
Alexander S. Urioste, MD
La Mesa, CA · Individual
1528011020
Weiling Chang, M.D.
La Mesa, CA · Individual
1659326460
Luis C. Maas III, MD
La Mesa, CA · Individual
1679529556
Valentin A. Lance, MD
La Mesa, CA · Individual
1720303191
Jon Gabriel Ellison, M.D.
La Mesa, CA · Individual
1760630669

All 20 diagnostic radiologists in La Mesa · All diagnostic radiologists in California