SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. (NPI# 1679825764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679825764 |
Entity Type | Organization |
Organization Name | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. |
Practice Address |
1955 Citracado Pkwy Suite 100 Escondido CA 92029-4110 |
Mailing Address |
Po Box 23540 San Diego CA 92193-3540 |
Practice Telephone | 7607433873 |
Practice Fax Number | 7607433874 |
Mailing Telephone | 8585650950 |
Mailing Fax Number | 8585652863 |
Enumeration Date | 2012-10-12 |
Last Update Date | 2017-03-22 |
Authorized Official Name | NORMAN C. CHEN (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 | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
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 |
1548513393 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 2095 W Vista Way, Suite 101, Vista, CA 92083-6027 | 2012-10-17 |
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 |
1955 CITRACADO PKWY SUITE 100 |
City | ESCONDIDO |
State | CA |
Zip Code | 92029-4110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629071469 | Bradley Howard Chesler | Physical Medicine & Rehabilitation | 1955 Citracado Pkwy, Suite 203, Escondido, CA 92029-4110 | 2005-05-24 |
1528510930 | Chase Wagner | Nurse Practitioner | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2016-11-01 |
1881018067 | Kimberly Marie Barmack | Nurse Practitioner | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2014-02-10 |
1730432469 | Lc San Diego LLC | Pharmacy | 1955 Citracado Pkwy, Ste 101, Escondido, CA 92029-4110 | 2012-10-18 |
1518217330 | Arch Health Partners | Internal Medicine | 1955 Citracado Pkwy, Ste 300, Escondido, CA 92029-4110 | 2012-09-19 |
1215201108 | Maryam Balouch | Internal Medicine | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2012-02-24 |
1487892352 | Arush Arvin Patel | Orthopaedic Surgery | 1955 Citracado Pkwy, # 200, Escondido, CA 92029-4110 | 2009-01-29 |
1619174133 | Navinder Singh Sawhney | Internal Medicine | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2007-06-28 |
1114044633 | Robert Duane Frost | Physician Assistant | 1955 Citracado Pkwy, Suite 200, Escondido, CA 92029-4110 | 2007-03-22 |
1063579423 | Hidden Valley Surgical Med. Group, Inc. | Surgery | 1955 Citracado Pkwy, Suite 200, Escondido, CA 92029-4110 | 2007-01-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
Find all providers in zip 92029 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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 |
1255590535 | Harold George Coons | Clinic/Center | 2936 Calle De Malibu, Escondido, CA 92029-5811 | 2008-06-03 |
1578816617 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 255 N Elm St, Suite 204, Escondido, CA 92025-3431 | 2012-10-25 |
1689635930 | Escondido Imaging Center | Clinic/Center | 355 E Grand Ave, Suite 3, Escondido, CA 92025-3313 | 2006-03-28 |
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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 |
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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.