TRI-CITY PETCT LLC (NPI# 1154580348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154580348 |
| Entity Type | Organization |
| Organization Name | TRI-CITY PETCT LLC |
| Practice Address |
902 Sycamore Ave Vista CA 92081 |
| Mailing Address |
18201 Von Karman Ave Ste 600 Irvine CA 92612-1176 |
| Practice Telephone | 7146883384 |
| Mailing Telephone | 9492425384 |
| Mailing Fax Number | 7146885573 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | WILLIAM LARKIN (COO) |
| Authorized Official Telephone | 8005443215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
CA | Ambulatory Health Care Facilities |
| Street Address |
902 SYCAMORE AVE |
| City | VISTA |
| State | CA |
| Zip Code | 92081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740471234 | Robert D. Olson Integrative Chiropractic Inc | Physical Therapist | 902 Sycamore Ave, Suite 201, Vista, CA 92081-7815 | 2007-08-08 |
| 1376794099 | Heather Shott | Chiropractor | 902 Sycamore Ave, Suite 201, Vista, CA 92081-7879 | 2008-10-01 |
| 1306013636 | Mario M Mancusi | Physical Therapist | 902 Sycamore Ave, Suite 201, Vista, CA 92081-7879 | 2008-05-15 |
| 1245415538 | Cyberknife of Southern California At Vista | Clinic/Center | 902 Sycamore Ave, Suite 100, Vista, CA 92081-7879 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896202 | Maritza Mercado | Behavior Technician | 1926 Civic Center Dr Suite B, Vista, CA 92081 | 2020-03-13 |
| 1417599267 | Cherelle Artise Lewis | Behavior Technician | 1926 Via Centre Drive, Suite B, Vista, CA 92081 | 2019-10-14 |
| 1194101295 | Mary Stewart | Physical Therapist | 1515 S Melrose Dr, Vista, CA 92081 | 2015-07-31 |
| 1184069122 | Houri Fatourachi, Dds Inc | Dentist | 2325 S Melrose Dr., Vista, CA 92081 | 2013-05-03 |
| 1821377037 | Mori Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2320 La Mirada Dr, Vista, CA 92081 | 2011-08-05 |
| 1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1760650808 | Edward George Dougherty | Occupational Therapy Assistant | 1579 Wellington Lane, 51, Vista, CA 92081 | 2008-02-12 |
| 1831398676 | Longs Drug Stores California LLC | Pharmacy | 635 S Melrose Dr, Vista, CA 92081 | 2007-07-12 |
| 1346462231 | Houri Fatourachi | Dentist | 2325 South Melrose Drive, Vista, CA 92081 | 2007-05-02 |
| Find all providers in zip 92081 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1164049508 | Ohni Imaging Inc | Clinic/Center | 8631 W 3rd St # 945e, Los Angeles, CA 90048-5901 | 2020-07-01 |
| 1952924599 | Oracle Imaging Inc. | Clinic/Center | 6941 Brockton Ave, Riverside, CA 92506-3803 | 2020-05-18 |
| 1720625742 | F&m Radiology Medical Center Inc | Clinic/Center | 17779 Ventura Blvd # 100, Encino, CA 91316-3717 | 2019-12-09 |
| 1982240321 | United Care Foundation | Clinic/Center | 2233 Watt Ave Ste 120, Sacramento, CA 95825-0569 | 2019-11-20 |
| 1932744893 | Westcoast Radiology Associates Pllc | Clinic/Center | 4193 Flat Rock Dr Ste 200, Riverside, CA 92505-7113 | 2019-11-14 |
| 1518502087 | Ishraf Corporation | Clinic/Center | 5720 Stoneridge Mall Rd Ste 288, Pleasanton, CA 94588-2830 | 2019-11-08 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
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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.