ONLINE RADIOLOGY MEDICAL GROUP, INC. (NPI# 1235535220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235535220 |
| Entity Type | Organization |
| Organization Name | ONLINE RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
315 Calle Pescador San Clemente CA 92672-2206 |
| Mailing Address |
75 Remittance Dr Dept. 6620 Chicago IL 60675-6620 |
| Practice Telephone | 9493884014 |
| Mailing Telephone | 8884122639 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | SAMUEL SALEN (M.D., CFO) |
| Authorized Official Telephone | 9517860801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G81806 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942607916 | Online Radiology Medical Group, Inc. | Radiology | 115 Coral Rose, Irvine, CA 92603-0177 | 2014-11-19 |
| 1699171678 | Online Radiology Medical Group, Inc. | Radiology | 26 Roseville, Irvine, CA 92602-2030 | 2014-11-18 |
| 1952707952 | Online Radiology Medical Group, Inc. | Radiology | 512 Avocado Ave, Corona Del Mar, CA 92625-1918 | 2014-11-18 |
| 1346646353 | Online Radiology Medical Group, Inc. | Radiology | 135 S Haskell Dr, El Centro, CA 92243-5547 | 2014-11-18 |
| 1538566104 | Online Radiology Medical Group, Inc. | Radiology | 1770 Iowa Ave, 280, Riverside, CA 92507-2430 | 2014-11-26 |
| 1750787719 | Online Radiology Medical Group, Inc. | Radiology | 12700 Centerville Rd, Chico, CA 95928-8328 | 2014-11-18 |
| 1134525181 | Online Radiology Medical Group, Inc. | Radiology | 338 Lowell Ave, Mill Valley, CA 94941-3845 | 2014-11-18 |
| 1538565593 | Online Radiology Medical Group, Inc. | Radiology | 30000 Santiago Rd, Temecula, CA 92592-5115 | 2014-11-18 |
| Street Address |
315 CALLE PESCADOR |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811910532 | Jeffrey Paul Vargo | Radiology | 209 Calle Potranca, San Clemente, CA 92672-4552 | 2006-07-25 |
| 1912959669 | Paul S Kim and Kirk L Ohanian,md Inc | Radiology | 654 Camino De Los Mares, San Clemente, CA 92673-2827 | 2006-05-17 |
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| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
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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.