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IMAGING HEALTHCARE SPECIALISTS MEDICAL GROUP INC. NPI 1750498093


NPI Information

NPI: 1750498093
Provider Name: IMAGING HEALTHCARE SPECIALISTS MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
6256 GREENWICH DR
SUITE 150
SAN DIEGO, CA
ZIP 92122
Phone: (866) 558-4320
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IMAGING HEALTHCARE SPECIALISTS 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. IMAGING HEALTHCARE SPECIALISTS MEDICAL GROUP, INC. NPI is 1750498093. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6256 GREENWICH DR
SUITE 150
SAN DIEGO, CA
ZIP 92122-941
Phone: (866) 558-4320
Fax: (619) 294-8399

The provider's authorized official is Thomas D Cleary .
The authorized official title is President & Ceo and has the following contact phone number (866) 558-4320.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 10/29/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207U00000XNuclear MedicineNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
32085R0202XRadiologyDiagnostic RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0103683MEDICAIDCALIFORNIA
2GR0103686MEDICAIDCALIFORNIA
3GR0103685MEDICAIDCALIFORNIA
4DO0677MEDICARE PINCALIFORNIA
5GR0103681MEDICAIDCALIFORNIA
6GR010368BMEDICAIDCALIFORNIA
7W20317AMEDICARE PINCALIFORNIA
84598337MEDICARE UPINCALIFORNIA
9GR0103689MEDICAIDCALIFORNIA
10W20317MEDICARE PINCALIFORNIA
11GR0103680MEDICAIDCALIFORNIA
12GR0103687MEDICAIDCALIFORNIA
13GR010368CMEDICAIDCALIFORNIA
14ZZZ04128ZMEDICARE PINCALIFORNIA
15GR0103684MEDICAIDCALIFORNIA
16GR0103688MEDICAIDCALIFORNIA
17GR010368AMEDICAIDCALIFORNIA
18GR010368DMEDICAIDCALIFORNIA
19GR0103682MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.