WEST RAD MEDICAL GROUP NPI 1609802842

NPI Information

NPI: 1609802842
Provider Name: WEST RAD MEDICAL GROUP
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
Address: 1100-A N TUSTIN AVE
SANTA ANA, CA
ZIP 92705
Phone: (714) 835-6055

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NPI Details

WEST RAD MEDICAL GROUP is a diagnostic radiology radiology in Santa Ana, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WEST RAD MEDICAL GROUP NPI is 1609802842. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1100-A N TUSTIN AVE
SANTA ANA, CA
ZIP 92705-509
Phone: (714) 835-6055
Fax: (714) 835-3287

The provider's authorized official is Mark Geoffery Stein .
The authorized official title is President and has the following contact phone number (714) 835-6055.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 2/13/2008.

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	2085B0100X	Radiology	Body Imaging	042713	CALIFORNIA	No
2	2085N0700X	Radiology	Neuroradiology	042713	CALIFORNIA	No
3	2085N0904X	Radiology	Nuclear Radiology	042713	CALIFORNIA	No
4	2085R0204X	Radiology	Vascular & Interventional Radiology	042713	CALIFORNIA	No
5	2085U0001X	Radiology	Diagnostic Ultrasound	042713	CALIFORNIA	No
6	2085R0202X	Radiology	Diagnostic Radiology	042713	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	GR0050440	MEDICAID	CALIFORNIA
2	GR0050444	MEDICAID	CALIFORNIA
3	GR0050442	MEDICAID	CALIFORNIA
4	W10646	MEDICARE ID-TYPE UNSPECIFIED
5	GR0050441	MEDICAID	CALIFORNIA
6	GR0050443	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: 3/30/2025

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