IndividualActive
Jensen Manabat, RADIOLOGIC TECHNOLOG
NPI 1073033924 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Thousand Oaks, CA
Provider details
- NPI number
- 1073033924
- Entity type
- Individual
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Credential
- RADIOLOGIC TECHNOLOG
- Sex
- Male
- Sole proprietor
- Yes
- License
- RHF00085813 (CA)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense RHF00085813 (CA)
Suppliers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 Saint Charles Dr
Thousand Oaks, CA 91360-3951
Phone: (805) 579-0288
Street-level locationGet directions
Mailing address
2826 Racine St
Simi Valley, CA 93065-2730
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2017-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.