San Gabriel Valley Diagnostic Center Medical Group
NPI 1790725141ActiveOrganization· Radiology, Diagnostic Radiology· West Covina, CA
Radiology, Diagnostic Radiology in West Covina, California, registered in NPPES in June 2006. The authorized official on file is Bharath Kumar Krishnasamy, M.D., Medical Director.
Overview
| NPI | 1790725141 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 7, 2006 |
| Last updated in NPPES | May 25, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Radiology, Neuroradiology, Nuclear Radiology | 2085N0904X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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