SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. (NPI# 1548513393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548513393 |
Entity Type | Organization |
Organization Name | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. |
Practice Address |
2095 W Vista Way Suite 101 Vista CA 92083-6027 |
Mailing Address |
Po Box 23540 San Diego CA 92193-3540 |
Practice Telephone | 7609407005 |
Practice Fax Number | 7609404073 |
Enumeration Date | 2012-10-17 |
Last Update Date | 2012-10-17 |
Authorized Official Name | PATRICK H. CAREY (PRESIDENT/CEO) |
Authorized Official Telephone | 8585650950 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962742874 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 1817 Avenida Del Diablo, Escondido, CA 92029-3112 | 2013-03-01 |
1104265396 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 354 Santa Fe Dr, Encinitas, CA 92024-5142 | 2013-06-20 |
1578816617 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 255 N Elm St, Suite 204, Escondido, CA 92025-3431 | 2012-10-25 |
1295088334 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 15525 Pomerado Rd, Suite E2, Poway, CA 92064-2435 | 2012-10-25 |
1730432972 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2012-10-25 |
1679825764 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 1955 Citracado Pkwy, Suite 100, Escondido, CA 92029-4110 | 2012-10-12 |
1962754077 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 3909 Waring Rd, Suite C, Oceanside, CA 92056-4455 | 2012-10-12 |
1376894204 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 2185 W Citracado Pkwy, Escondido, CA 92029-4159 | 2012-10-02 |
1144571076 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 15615 Pomerado Rd, Poway, CA 92064-2405 | 2012-10-02 |
1841541760 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2012-10-02 |
Street Address |
2095 W VISTA WAY SUITE 101 |
City | VISTA |
State | CA |
Zip Code | 92083-6027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174516975 | Tri City Hospital District | Home Health | 2095 W Vista Way, Suite 220, Vista, CA 92083-6029 | 2005-08-26 |
1265779334 | Colorectal Center of San Diego, Inc. | Colon & Rectal Surgery | 2095 W Vista Way, Suite 106, Vista, CA 92083-6027 | 2013-01-09 |
1679874671 | Cambrian Cardiology Medical Group, Inc. | Specialist | 2095 W Vista Way, #107, Vista, CA 92083-6027 | 2010-11-07 |
1083887277 | Dhruvil Pradip Gandhi | Surgery | 2095 W Vista Way, Suite 106, Vista, CA 92083-6027 | 2008-04-08 |
1720104508 | Vincent E. Castro | Psychologist | 2095 W Vista Way, Suite 216, Vista, CA 92083-6027 | 2007-03-22 |
1053437244 | Denise Dyann Gonzales | Psychologist | 2095 W Vista Way, Suite #216, Vista, CA 92083-6027 | 2007-03-21 |
1477626984 | Robert H Barron Jr. | Family Medicine | 2095 W Vista Way, Suite 218, Vista, CA 92083-6027 | 2006-11-15 |
1053300673 | Oscar A Matthews | Internal Medicine | 2095 W Vista Way, #107, Vista, CA 92083-6027 | 2005-10-17 |
1114916988 | John A Young | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2095 W Vista Way, Vista, CA 92083-6027 | 2005-10-14 |
1487647145 | Tri City Hospital | Home Health | 2095 W Vista Way, #220, Vista, CA 92083-6027 | 2005-08-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114496882 | Claire Louise Marsden | Speech-Language Pathologist | 1626 Fawley Lane, Vista, CA 92083 | 2018-11-24 |
1861975336 | Shawna Corn | Counselor | 216 W. Los Angeles Dr., Vista, CA 92083 | 2018-09-11 |
1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
1184140295 | Rosa Gema Pamatz | Counselor | 216 West Los Angeles Dr, Vista, CA 92083 | 2017-08-21 |
1528452521 | Vincetta Cox | Nursing Care | 770 Sycamore Avenue, 122-178, Vista, CA 92083 | 2015-03-27 |
1922367739 | Oriental Medical Arts & Acupuncture | Acupuncturist | 544 W Vista Way, Vista, CA 92083 | 2012-05-14 |
1861623001 | Dawn Lindshield | Counselor | 550 W Vista Way Ste 408, Vista, CA 92083 | 2009-08-06 |
1932336534 | Amyjane Dill | Student in an Organized Health Care Education/Training Program | 216 W Los Angeles Drive, New Haven Youth Family Services, Vista, CA 92083 | 2009-06-22 |
1821239054 | Marisela Wong | Pharmacist | 1510 N. Santa Fe Avenue, Vista, CA 92083 | 2009-03-18 |
1235389602 | Erik Sven Peterson | Counselor | 155 W. Bobier, Vista, CA 92083 | 2008-09-23 |
Find all providers in zip 92083 |
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 |
---|---|---|---|---|
1285739334 | Sean Patrick Pinnell | Radiology | 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 | 2006-09-13 |
1083781249 | Cassidy Medical Group - Radiology | Radiology | 145 Thunder Dr, Vista, CA 92083-6010 | 2006-11-30 |
1962509919 | Cline Adolph Handy | Radiology | 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 | 2006-09-20 |
1013014968 | Margaret Mae Lee | Radiology | 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 | 2006-09-20 |
1750487773 | Kathleen Melocoton Flores-dahms | Radiology | 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 | 2006-09-16 |
1942305099 | Raymond Joonki Hong | Radiology | 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 | 2006-09-13 |
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1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
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 |
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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.