SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC. NPI 1629156583

NPI Information

NPI: 1629156583
Provider Name: SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.

Doing Business As: SAN DIEGO IMAGING MEDICAL GROUP, INC.

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
8745 AERO DR
SUITE 200
SAN DIEGO, CA
ZIP 92123
Phone: (858) 565-0950
Get Directions

SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. is a diagnostic radiology radiology in San Diego, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. NPI is 1629156583. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As San Diego Imaging Medical Group, Inc..

The provider's business location address is:

8745 AERO DR
SUITE 200
SAN DIEGO, CA
ZIP 92123-761
Phone: (858) 565-0950
Fax: (858) 244-1100

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

The enumeration date for this NPI number is 11/1/2006 and was last updated on 3/22/2017.

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	License Number	License State	Primary
1	207U00000X	Nuclear Medicine		B1982005164	CALIFORNIA	No
2	207UN0901X	Nuclear Medicine	Nuclear Cardiology	B1982005164	CALIFORNIA	No
3	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy	B1982005164	CALIFORNIA	No
4	2085B0100X	Radiology	Body Imaging	B1982005164	CALIFORNIA	No
5	2085N0700X	Radiology	Neuroradiology	B1982005164	CALIFORNIA	No
6	2085N0904X	Radiology	Nuclear Radiology	B1982005164	CALIFORNIA	No
7	2085P0229X	Radiology	Pediatric Radiology	B1982005164	CALIFORNIA	No
8	2085R0001X	Radiology	Radiation Oncology	B1982005164	CALIFORNIA	No
9	2085R0203X	Radiology	Therapeutic Radiology	B1982005164	CALIFORNIA	No
10	2085R0204X	Radiology	Vascular & Interventional Radiology	B1982005164	CALIFORNIA	No
11	2085U0001X	Radiology	Diagnostic Ultrasound	B1982005164	CALIFORNIA	No
12	208VP0000X	Pain Medicine	Pain Medicine	B1982005164	CALIFORNIA	No
13	208VP0014X	Pain Medicine	Interventional Pain Medicine	B1982005164	CALIFORNIA	No
14	2085R0202X	Radiology	Diagnostic Radiology	B1982005164	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	HW529	MEDICARE PIN	CALIFORNIA
2	HW529B	MEDICARE PIN	CALIFORNIA
3	W529A	MEDICARE PIN	CALIFORNIA
4	HW529A	MEDICARE PIN	CALIFORNIA
5	W529	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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