Centrelake Medical Group Inc
NPI 1750980967ActiveOrganization· Radiology, Diagnostic Radiology· Hemet, CA
Radiology, Diagnostic Radiology in Hemet, California, registered in NPPES in October 2020, part of Centrelake Medical Group Inc. The authorized official on file is Tania Ceja, Lead Site Manager. Medicare paid $42,644 for services to 393 patients in 2024.
Overview
| NPI | 1750980967 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centrelake Medical Group Inc |
| NPI issued | Oct 19, 2020 |
| Last updated in NPPES | Oct 19, 2020 |
| Certified by provider | Oct 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 393 |
|---|---|
| Services billed | 738 across 66 procedure codes |
| Paid by Medicare | $42,644 |
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