ESCONDIDO IMAGING CENTER (NPI# 1689635930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689635930 |
| Entity Type | Organization |
| Organization Name | ESCONDIDO IMAGING CENTER |
| Practice Address |
355 E Grand Ave Suite 3 Escondido CA 92025-3313 |
| Mailing Address |
Po Box 460398 Escondido CA 92046-0398 |
| Practice Telephone | 7604806519 |
| Practice Fax Number | 7604801012 |
| Mailing Telephone | 7605208500 |
| Mailing Fax Number | 7605208523 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2013-06-26 |
| Authorized Official Name | DR. RABBE R LINDSTROM (MANAGING PARTNER) |
| Authorized Official Telephone | 7604806519 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
149423 | CA | Ambulatory Health Care Facilities |
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
149423 | CA | Ambulatory Health Care Facilities |
| Street Address |
355 E GRAND AVE SUITE 3 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194719799 | Laurence Mercer Mckinley | Orthopaedic Surgery | 355 E Grand Ave, Suite 1-2, Escondido, CA 92025-3313 | 2005-09-09 |
| 1407298664 | Marissa Guhl | Physical Therapy Assistant | 355 E Grand Ave, Ste 4, Escondido, CA 92025-3313 | 2013-07-29 |
| 1386855898 | Pacific Spine Clinic Inc | Orthopaedic Surgery | 355 E Grand Ave, Suite 1-2, Escondido, CA 92025-3313 | 2007-05-25 |
| 1598724320 | Alan Edward Mohn | Physical Therapist | 355 E Grand Ave, Suite #4, Escondido, CA 92025-3313 | 2006-03-21 |
| 1760441588 | Adelheid Williams | Physical Therapist | 355 E Grand Ave, Suite #4, Escondido, CA 92025-3313 | 2006-03-21 |
| 1780643916 | Barbara Lynn Mcmurdo | Physical Therapist | 355 E Grand Ave, Suite #4, Escondido, CA 92025-3313 | 2006-03-17 |
| 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 | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
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| 1225542665 | Peak Diagnostic | Clinic/Center | 8901 Activity Rd Ste 103, San Diego, CA 92126-4436 | 2017-11-21 |
| 1346775665 | Advantage Mri Roseville Lp | Clinic/Center | 2990 Lava Ridge Ct, Suite100, Roseville, CA 95661-3057 | 2017-04-24 |
| 1821484312 | Access Imaging, LLC | Clinic/Center | 1601 Ives Ave, C & D, Oxnard, CA 93033-1907 | 2015-04-10 |
| 1083007389 | Access Imaging, LLC | Clinic/Center | 4381 Brockton Ave, Riverside, CA 92501-3470 | 2015-03-11 |
| Find all providers with the same taxonomy | ||||
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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.