BACK BAY IMAGING INC. NPI 1891232294

NPI Information

  • NPI: 1891232294
  • Provider Name: BACK BAY IMAGING INC.
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 301 BAYVIEW CIR
    SUITE 105
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (310) 736-4395

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NPI Details

BACK BAY IMAGING INC. is a radiology clinic center in Newport Beach, CA. BACK BAY IMAGING INC. NPI is 1891232294. The provider is registered as an organization entity type.

The provider's business location address is:

301 BAYVIEW CIR
SUITE 105
NEWPORT BEACH, CA
ZIP 92660-948
Phone: (310) 736-4395

The provider's authorized official is Robert Petzold .
The authorized official title is Manager and has the following contact phone number (310) 736-4395.

The enumeration date for this NPI number is 1/23/2017 and was last updated on 1/30/2017.

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
1261QR0200XClinic/CenterRadiologyYes

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

NPI Synchronization or Removal

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