Centrelake Medical Group Inc
NPI 1750980967 · Diagnostic Radiology Physician · Hemet, CA
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Centrelake Medical Group Inc is a Diagnostic Radiology Physician organization in Hemet, CA (NPI 1750980967).
Provider details
- NPI number
- 1750980967
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Centrelake Medical Group Inc
- Organization subpart
- Yes
- Authorized official
- Tania Ceja, Lead Site Manager(909) 242-7300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
561 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 | 82 | $41 |
| X-Ray of Chest, 2 Views71046 | 71 | $35 |
| Screening Mammography77067 | 71 | $134 |
| X-Ray of Foot, Minimum of 3 Views73630 | 44 | $36 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 29 | $37 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 28 | $42 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Centrelake Imaging & Oncology
Registry dates
- Enumerated
- 2020-10-19
- Last updated
- 2020-10-19
- Certified
- 2020-10-19
Frequently asked questions
- What is Centrelake Medical Group Inc's NPI number?
- Centrelake Medical Group Inc's National Provider Identifier (NPI) is 1750980967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centrelake Medical Group Inc?
- Centrelake Medical Group Inc is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Centrelake Medical Group Inc located?
- Centrelake Medical Group Inc's practice location on file with NPPES is 430 W Stetson Ave, Hemet, CA 92543-7328.
- What is Centrelake Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Centrelake Medical Group Inc is (909) 242-7300.
- Does Centrelake Medical Group Inc accept Medicare?
- Centrelake Medical Group Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Centrelake Medical Group Inc?
- The authorized official listed on Centrelake Medical Group Inc's NPPES record is Tania Ceja, Lead Site Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centrelake Medical Group Inc's NPI active?
- Yes — Centrelake Medical Group Inc's NPI (1750980967) is active in the NPPES registry as of the last update on 2020-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.