Organization provider

CENTRELAKE MEDICAL GROUP, INC.

Radiology Clinic/Center Mammography Clinic/Center Radiation Oncology Clinic/Center Medicare enrolled

CENTRELAKE MEDICAL GROUP, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104293216, based in Downey, CA. The organization lists 3 taxonomy classifications, with Radiology Clinic/Center recorded as primary.

Getting there

The practice address on file is 10226 LAKEWOOD BLVD, Downey, CA 90241. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10226 LAKEWOOD BLVD, Downey, CA 90241 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
282092 CA Radiology Clinic/Center primary
282092 CA Mammography Clinic/Center
282092 CA Radiation Oncology Clinic/Center

This provider holds licence 282092 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Independent Diagnostic Testing Facility (idtf)
PAC ID
1658471123

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Independent Diagnostic Testing Facility (idtf). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Radiology covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QR0200X
Ambulatory Health Care Facilities Clinic/Center Radiology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
261QR0200X Radiology Clinic/Center Radiology 282092 CA primary
261QR0206X Mammography Clinic/Center Radiology, Mammography 282092 CA
261QX0203X Radiation Oncology Clinic/Center Oncology, Radiation 282092 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104293216 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 24, 2015
Last updatedMay 24, 2021
StatusActive
Practice address 10226 LAKEWOOD BLVD
Downey, CA 90241
(562) 287-7205
Fax (909) 786-4391
Mailing address 3115 E GUASTI RD
Ontario, CA 91761
The last update on file is May 24, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104293216 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 2 9 3 2 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 4 9 6 2 2

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104293216?
NPI 1104293216 is the National Provider Identifier assigned to CENTRELAKE MEDICAL GROUP, INC. in Downey, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Radiology cover?
Definition to come...
How do I contact CENTRELAKE MEDICAL GROUP, INC.?
The phone number on file with NPPES is (562) 287-7205, last updated May 24, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does CENTRELAKE MEDICAL GROUP, INC. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104293216 a valid number?
Yes. 1104293216 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.