SD IMAGING GROUP, LLC (NPI# 1326152604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326152604 |
| Entity Type | Organization |
| Organization Name | SD IMAGING GROUP, LLC |
| Other Organization Name | ADVANCED MRI & CT OF ESCONDIDO |
| Practice Address |
255 N Elm St Ste 102 Escondido CA 92025-3431 |
| Practice Telephone | 7607433873 |
| Practice Fax Number | 7607433874 |
| Mailing Telephone | 7607433873 |
| Mailing Fax Number | 7607433874 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JODIE TAYLOR (OFFICE MANAGER) |
| Authorized Official Telephone | 7607433873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Advanced MRI & CT of Escondido | Doing Business As Name - Organization |
| Street Address |
255 N ELM ST STE 102 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| 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 |
|---|---|---|---|---|
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1194036822 | Celinda Sophie Eads | Specialist | 1118 W Valley Pkwy, Escondido, CA 92025-2559 | 2010-06-28 |
| 1437343605 | Yale Mitchell Kadesky | Specialist | 1101 E Pennsylvania Ave, Escondido, CA 92025-3208 | 2007-08-30 |
| 1194800052 | Timothy Silleck Bailey | Specialist | 625 Citracado Pkwy Ste 108, Escondido, CA 92025-6428 | 2006-10-26 |
| 1285653543 | Pritam Singh | Specialist | 735 E Ohio Ave Ste 204, Escondido, CA 92025-3437 | 2006-07-18 |
| 1851389977 | Joseph M Mann IIi | Specialist | 163 N Date St, Escondido, CA 92025-3405 | 2005-10-12 |
| 1598763971 | Radiation Medical Group Inc | Specialist | 701 E Grand Ave, Ste 200, Escondido, CA 92025-4404 | 2005-07-11 |
| 1164425054 | Escondido Dermatology, Inc A Professional Corporation | Specialist | 504 W Mission Ave, Ste 101, Escondido, CA 92025-1602 | 2005-05-24 |
| 1760923601 | Emerson Medical Consultants, LLC | Specialist | 635 E Grand Ave, Escondido, CA 92025-4402 | 2017-03-11 |
| 1013357599 | Julia Goker | Specialist | 651 E Pennsylvania Ave, Suite 202, Escondido, CA 92025-3053 | 2013-06-28 |
| Find all providers in ESCONDIDO | ||||
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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.