X-RAY MEDICAL GROUP INC NPI 1740232776

NPI Information

NPI: 1740232776
Provider Name: X-RAY MEDICAL GROUP, INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
7777 ALVARADO RD
SUITE 108
LA MESA, CA
ZIP 91941
Phone: (619) 460-2770
Get Directions

X-RAY MEDICAL GROUP, INC is a diagnostic radiology radiology in La Mesa, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. X-RAY MEDICAL GROUP, INC NPI is 1740232776. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7777 ALVARADO RD
SUITE 108
LA MESA, CA
ZIP 91941-616
Phone: (619) 460-2770
Fax: (619) 460-2774

The provider's authorized official is Harry Peter Ellison .
The authorized official title is President and has the following contact phone number (619) 460-2770.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 12/7/2011.

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	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	ZZZ32220Z	OTHER	CALIFORNIA	BLUE SHIELD
2	ZZZ73868Z	MEDICAID	CALIFORNIA
3	HW189E	MEDICARE PIN	CALIFORNIA
4	ZZZ52314Z	OTHER	CALIFORNIA	BLUE SHIELD
5	GR0013320	MEDICAID	CALIFORNIA
6	CP5160	MEDICARE PIN	CALIFORNIA
7	HW189	MEDICARE PIN	CALIFORNIA
8	GR0013321	MEDICAID	CALIFORNIA
9	ZZZ32219Z	OTHER	CALIFORNIA	BLUE SHIELD
10	ZZZ32053Z	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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