Centrelake Medical Group Inc
NPI 1912572728 · Radiology Clinic/Center · Anaheim, 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 Radiology Clinic/Center organization in Anaheim, CA (NPI 1912572728).
Provider details
- NPI number
- 1912572728
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tania Ceja, Site Manager(909) 242-7300
Specialties & taxonomies
Ambulatory Health Care Facilities
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
79 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 | 30 | $44 |
| Ct Scan of Abdomen and Pelvis Before and After Contrast74178 | 18 | $397 |
| Complete Ultrasound Scan of Abdomen76700 | 18 | $126 |
| Screening Mammography77067 | 13 | $145 |
Typical Medicare-allowed amounts for these services range $44–$397 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Centrelake Imaging & Oncology
Registry dates
- Enumerated
- 2021-05-24
- Last updated
- 2021-05-24
- Certified
- 2021-05-24
Frequently asked questions
- What is Centrelake Medical Group Inc's NPI number?
- Centrelake Medical Group Inc's National Provider Identifier (NPI) is 1912572728, 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 Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Centrelake Medical Group Inc located?
- Centrelake Medical Group Inc's practice location on file with NPPES is 1900 E La Palma Ave Ste D, Anaheim, CA 92805-1647.
- 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, 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 (1912572728) is active in the NPPES registry as of the last update on 2021-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.