SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC. NPI 1043378136

NPI Information

NPI: 1043378136
Provider Name: SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.

Doing Business As: SAN DIEGO IMAGING MEDICAL GROUP

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
7910 FROST ST
SUITE 100
SAN DIEGO, CA
ZIP 92123
Phone: (858) 634-5900
Get Directions

SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. is a radiology clinic center in San Diego, CA. SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. NPI is 1043378136. The provider is registered as an organization entity type.
The provider Is Doing Business As San Diego Imaging Medical Group.

The provider's business location address is:

7910 FROST ST
SUITE 100
SAN DIEGO, CA
ZIP 92123-771
Phone: (858) 634-5900
Fax: (858) 634-5990

The provider's authorized official is Norman C. Chen .
The authorized official title is President And Ceo and has the following contact phone number (858) 565-0950.

The CLIA number assigned to this NPI record is 05D1066363 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 3/23/2017.

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	Primary
1	261Q00000X	Clinic/Center		No
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	No
3	261QP3300X	Clinic/Center	Pain	No
4	261QR0206X	Clinic/Center	Radiology, Mammography	No
5	261QR0200X	Clinic/Center	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	W529	MEDICARE PIN	CALIFORNIA
2	GR0083816	MEDICAID	CALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »