BAY HARBOR MRI INC (NPI# 1083639843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083639843 |
| Entity Type | Organization |
| Organization Name | BAY HARBOR MRI INC |
| Practice Address |
1403 Lomita Blvd Suite 107 Harbor City CA 90710-2076 |
| Practice Telephone | 3103259901 |
| Practice Fax Number | 3103250202 |
| Mailing Telephone | 3103259901 |
| Mailing Fax Number | 3103250202 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | MRS. TANIA M REYES (OFFICE DIRECTOR) |
| Authorized Official Telephone | 3103259901 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 00A321511 | 01 |
| CA | PTAN | TD062 | 01 |
| Street Address |
1403 LOMITA BLVD SUITE 107 |
| City | HARBOR CITY |
| State | CA |
| Zip Code | 90710-2076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336122670 | Peregrine Hospice, Inc. | Hospice Care, Community Based | 1403 Lomita Blvd, Suite 301, Harbor City, CA 90710-2076 | 2005-11-21 |
| 1285254326 | Olisemeka Okafor | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Harbor City, CA 90710-2076 | 2020-04-18 |
| 1790340917 | Rosemarie C Byrd | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Harbor City, CA 90710-2076 | 2019-05-02 |
| 1194288852 | County of Los Angeles - Auditor Controller | Clinic/Center | 1403 Lomita Blvd, Suite 102, Rooms 1-26 & Conference Room, Harbor City, CA 90710 | 2019-04-10 |
| 1912468075 | Shona Clare Lamb | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Harbor City, CA 90710-2076 | 2019-03-29 |
| 1871028894 | Danny N Kim | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Suite 200, Harbor City, CA 90710-2076 | 2017-04-27 |
| 1154856649 | Joanne Jeeyoung Cho | Family Medicine | 1403 Lomita Blvd, Suite 200, Harbor City, CA 90710-2076 | 2017-04-22 |
| 1982138699 | Heidi Christina Mock | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Suite 200, Harbor City, CA 90710-2076 | 2017-04-19 |
| 1811421647 | Vidushi Mehrotra | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Suite 200, Harbor City, CA 90710-2076 | 2017-04-18 |
| 1992151765 | Jonathan Watson | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd, Suite 102, Harbor City, CA 90710-2076 | 2016-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036018 | Eddie Blackmon IIi | Respiratory Therapist, Registered | 25820 Normandie Ave, Harbor City, CA 90710 | 2020-09-08 |
| 1316502099 | Jennifer Ilene Estey | Nurse Practitioner | 1403 Lomita Blvd Ste 307, Harbor City, CA 90710 | 2019-05-07 |
| 1104398643 | Active Life Home Care Inc | In Home Supportive Care | 760 W. Lomita Blvd., Suite 79, Harbor City, CA 90710 | 2018-12-21 |
| 1073088514 | Ez Access Transportation Corp. | Non-emergency Medical Transport (VAN) | 24328 S Vermont Ave, Suite #313, Harbor City, CA 90710 | 2018-10-11 |
| 1689192791 | County of Los Angeles Auditor Controller | Clinic/Center | 1403 Lomita Blvd., Suite 102, Rooms 1-26 & Conference Room, Harbor City, CA 90710 | 2017-09-08 |
| 1174041347 | Cb Carehome, Inc | Skilled Nursing Facility | 23331 Maltby Place, Harbor City, CA 90710 | 2017-09-07 |
| 1649705682 | Gina Guillaume | Student in an Organized Health Care Education/Training Program | 1403 West Lomita Blvd Suite 200, Harbor City, CA 90710 | 2017-04-27 |
| 1760843213 | Karen Savoni | Social Worker | 25975 Normandie Avenue, Harbor City, CA 90710 | 2016-03-11 |
| 1699148593 | Kaiser Permanente | Health Maintenance Organization | 25965 S. Normandie Aveune, Harbor City, CA 90710 | 2015-11-02 |
| 1164778148 | Thermon Lenelle Carrier | Driver | 1332 W. 254th St, Apt E, Harbor City, CA 90710 | 2012-07-27 |
| Find all providers in zip 90710 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235593542 | Sherlyn M Roberson | Specialist | 24415 Marigold Ave, Harbor City, CA 90710-1827 | 2016-04-12 |
| 1538364674 | Lynn Chiyeko Mikami | Specialist | Kaiser Permanente South Bay Medical Center Ot Dept, 25975 S. Normandie Avenue, Harbor City, CA 90710 | 2007-06-19 |
| 1467648428 | Jennifer J Green | Specialist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2007-09-23 |
| 1730385428 | Andrea Lynn Jurgens | Specialist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2007-06-21 |
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|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | HARBOR CITY |
| Zip Code | 90710 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.