SOUTHWEST PROFESSIONAL MEDICAL ARTS NPI 1043404700

NPI Information

NPI: 1043404700
Provider Name: SOUTHWEST PROFESSIONAL MEDICAL ARTS
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
17868 HWY 18 #329
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 946-5177
Get Directions

SOUTHWEST PROFESSIONAL MEDICAL ARTS is a diagnostic radiology radiology in Apple Valley, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTHWEST PROFESSIONAL MEDICAL ARTS NPI is 1043404700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17868 HWY 18 #329
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 946-5177
Fax: (760) 946-5133

The provider's authorized official is Charles Taylor .
The authorized official title is President and has the following contact phone number (760) 946-5177.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 6/25/2008.

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	C38699	CALIFORNIA	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
1	A36985	MEDICARE UPIN	CALIFORNIA
2	00C386992	MEDICAID	CALIFORNIA
3	00C386990	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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