NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC NPI 1013951714

NPI Information

NPI: 1013951714
Provider Name: NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC

Doing Business As: NEWPORT IMAGING CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
360 SAN MIGUEL DR STE 106
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 764-7480
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NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC is a diagnostic radiology radiology in Newport Beach, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC NPI is 1013951714. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Newport Imaging Center.

The provider's business location address is:

360 SAN MIGUEL DR STE 106
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 764-7480
Fax: (949) 721-9411

The provider's authorized official is Michael C Roossin .
The authorized official title is President and has the following contact phone number (949) 574-8200.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 8/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207U00000X	Nuclear Medicine				No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0027850	MEDICAID	CALIFORNIA
2	ZZZ16877Z	OTHER	CALIFORNIA	BLUE SHIELD
3	ZZZ05509Z	OTHER	CALIFORNIA	BLUE SHIELD
4	ZZZ13769Z	OTHER	CALIFORNIA	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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