LA JOLLA RADIOLOGY MEDICAL GROUP - DIAGNOSIS INC. NPI 1689627317

NPI Information

NPI: 1689627317
Provider Name: LA JOLLA RADIOLOGY MEDICAL GROUP - DIAGNOSIS, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
10150 SORRENTO VALLEY RD
SUITE 320
SAN DIEGO, CA
ZIP 92121
Phone: (858) 454-4235
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LA JOLLA RADIOLOGY MEDICAL GROUP - DIAGNOSIS, 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. LA JOLLA RADIOLOGY MEDICAL GROUP - DIAGNOSIS, INC. NPI is 1689627317. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10150 SORRENTO VALLEY RD
SUITE 320
SAN DIEGO, CA
ZIP 92121-635
Phone: (858) 454-4235
Fax: (858) 454-4644

The provider's authorized official is Peter H.b. Mccreight .
The authorized official title is President and has the following contact phone number (858) 454-4235.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 6/22/2009.

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				No
2	2085R0202X	Radiology	Diagnostic 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	ZZZ00192Z	OTHER		BLUE SHIELD
2	ZZZ777070Z	OTHER		BLUE SHIELD
3	ZZZ00872Z	OTHER		BLUE SHIELD
4	HW10545A	MEDICARE PIN	CALIFORNIA
5	GR0006796	MEDICAID	CALIFORNIA
6	ZZZ71703Z	MEDICAID	CALIFORNIA
7	CG5449	MEDICARE PIN	CALIFORNIA
8	ZZZ73863Z	OTHER		BLUE SHIELD
9	ZZZ73863Z	MEDICAID	CALIFORNIA
10	ZZZ71703Z	OTHER		BLUE SHIELD
11	GR0006799	MEDICAID	CALIFORNIA
12	HW10545	MEDICARE PIN	CALIFORNIA
13	ZZZ00873Z	OTHER		BLUE SHIELD
14	ZZZ00191Z	OTHER		BLUE SHIELD
15	W10545	MEDICARE PIN	CALIFORNIA
16	ZZZ23443Z	OTHER		BLUE SHIELD
17	W10545F	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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