NPI Information

  • NPI: 1164885992
  • Provider Name: PMDTC, LLC
  • Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
  • Entity Type: Organization
  • :
  • Address: 29122 RANCHO VIEJO RD STE 208
    SAN JUAN CAPISTRANO, CA
    ZIP 92675
  • Phone: (949) 550-2279

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NPI Details

PMDTC, LLC is a portable x ray and or other portable diagnostic imaging supplier in San Juan Capistrano, CA. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. PMDTC, LLC NPI is 1164885992. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

29122 RANCHO VIEJO RD STE 208
SAN JUAN CAPISTRANO, CA
ZIP 92675-039
Phone: (949) 550-2279

The provider's authorized official is Tangina Maloof .
The authorized official title is Treasurer and has the following contact phone number (469) 636-5055.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Set-up portable x-ray equipment (HCPCS:Q0092)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen (HCPCS:R0070)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen (HCPCS:R0075)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Set-up portable x-ray equipment (HCPCS:Q0092)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of hand, 2 views (HCPCS:73120)
  • X-ray of ankle, 2 views (HCPCS:73600)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen (HCPCS:R0070)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen (HCPCS:R0075)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of skull, 1-3 views (HCPCS:70250)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of chest, 3 views (HCPCS:71047)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of face bones, minimum of 3 views (HCPCS:70150)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of shoulder, 1 view (HCPCS:73020)
  • X-ray of collar bone (HCPCS:73000)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of eye socket, minimum of 4 views (HCPCS:70200)
  • X-ray of skull, minimum of 4 views (HCPCS:70260)
  • X-ray of chest, minimum of 4 views (HCPCS:71048)
  • X-ray of heel, minimum of 2 views (HCPCS:73650)

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/31/2025.

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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierCALIFORNIAYes

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: 11/21/2025

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