CMS-1500 Box 24J / 33a • NPI
1336383942
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
335V00000X (CMS 63)
Licensed & Credentialed Suppliers — Portable X-Ray Supplier
Box 32 Service Location & ZIP+4
1330 ARROW HWY, LA VERNE, CA, 91750-5218
✓ 9-Digit EDI 837 ZIP+4 (91750-5218)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1336383942 (ADVANCED MEDICAL XRAY INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1336383942 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED MEDICAL XRAY INC |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Portable X-Ray Supplier NUCC Code: 335V00000X (Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1330 ARROW HWY, LA VERNE, CA, 91750-5218 |
| Practice Telephone / Fax | Tel: (626) 303-8674 | Fax: (909) 392-3824 |
| Administrative Mailing Address | PO BOX 7938, LA VERNE, CA, 91750-7938 |
| Enumeration & Last Sync | Enumerated: 2009-04-27 | CMS Record Updated: 2014-10-31 |
| Authorized Official | FAUSTO MENDEZ (PRESIDENT) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (335V00000X)
What Does Taxonomy Code 335V00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 335V00000X translates to:
"Licensed & Credentialed Suppliers — Portable X-Ray Supplier"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED MEDICAL XRAY INC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
335V00000X — Portable X-Ray and/or Other Portable Diagnostic Imaging SupplierPlain English: Licensed & Credentialed Suppliers — Portable X-Ray Supplier | State: CA | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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