SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.


Address: 2095 W Vista Way, Suite 101, Vista, CA 92083-6027
Phone: 7609407005

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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

Office Location

Street Address 2095 W VISTA WAY
SUITE 101
City VISTA
State CA
Zip Code 92083-6027

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952902116 Vesta Telemedicine Solutions, Pllc Radiology 833 Americana Way Unit 251, Glendale, CA 91210-1538 2020-11-04
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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Competitor

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City VISTA
Zip Code 92083

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Dataset Information

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.

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