KACI DUDLEY MD NPI 1669826913

NPI Information

NPI: 1669826913
Provider Name: KACI DUDLEY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: FACULTY PHYSICIANS AND SURGEONS OF LLUSM

PECOS Registration: Yes

Address:
11234 ANDERSON ST
GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-4289
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Kaci Dudley, MD is a diagnostic radiology radiology in Loma Linda, CA with 10 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Kaci Dudley, MD NPI is 1669826913. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11234 ANDERSON ST
GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-4289

The NPI 1669826913 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/22/2016 and was last updated on 8/12/2021.

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	390200000X	Student in an Organized Health Care Education/Training Program			CALIFORNIA	No
2	2085B0100X	Radiology	Body Imaging	A158974	CALIFORNIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	A158974	CALIFORNIA	Yes
4	2085U0001X	Radiology	Diagnostic Ultrasound	A158974	CALIFORNIA	No

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: 11/14/2023

NPI Synchronization or Removal

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