OrganizationActive
San Gabriel Valley Diagnostic Center Medical Group
NPI 1790725141 · Diagnostic Radiology Physician · West Covina, CA
Provider details
- NPI number
- 1790725141
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bharath Krishnasamy, Medical Director(626) 962-3525
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nuclear Radiology Physician2085N0904X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1509 W Cameron Ave
Suite D
West Covina, CA 91790-2725
Phone: (626) 962-3525
Fax: (626) 962-0032
Street-level locationGet directions
Mailing address
1509 W Cameron Ave
West Covina, CA 91790-2725
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2011-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.