SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. (NPI# 1730432972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730432972 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
15611 Pomerado Rd Poway CA 92064-2437 |
| Mailing Address |
Po Box 23540 San Diego CA 92193-3540 |
| Practice Telephone | 8586134000 |
| Enumeration Date | 2012-10-25 |
| 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 | 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 |
| 1548513393 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 2095 W Vista Way, Suite 101, Vista, CA 92083-6027 | 2012-10-17 |
| 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 |
15611 POMERADO RD |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021969 | Daniel F Mulvihill | Internal Medicine | 15611 Pomerado Rd, Suite 580, Poway, CA 92064-2437 | 2005-05-24 |
| 1013462852 | Anapatricia Najera-higareda | Nurse Practitioner | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2016-08-22 |
| 1346603024 | Ioanna Vouloumanou | Acupuncturist | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2016-03-31 |
| 1922473701 | Janine Ludwig | Chiropractor | 15611 Pomerado Rd, Ste 100s, Poway, CA 92064-2437 | 2015-12-05 |
| 1396110318 | Jane Lillian Kroese | Nurse Practitioner | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2015-12-02 |
| 1407258395 | San Diego Endocrinology Associates, PC | Internal Medicine | 15611 Pomerado Rd, 525, Poway, CA 92064-2437 | 2014-09-22 |
| 1740607274 | Jessica Mlakar | Acupuncturist | 15611 Pomerado Rd, Suite 100 South, Poway, CA 92064-2437 | 2014-03-21 |
| 1962844233 | Christina Marie Nakanishi | Social Worker | 15611 Pomerado Rd, Suite 535, Poway, CA 92064-2437 | 2013-07-26 |
| 1306280672 | North County Geriatrics | Internal Medicine | 15611 Pomerado Rd, Suite 575, Poway, CA 92064-2437 | 2013-04-17 |
| 1053659995 | Pain Allevia Medical Corporation | Pain Medicine | 15611 Pomerado Rd, Suite 525, Poway, CA 92064-2437 | 2013-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| 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 |
|---|---|---|---|---|
| 1407175771 | Remote Diagnostic Interpreters PC | Radiology | 14378 Harvest Crescent, Poway, CA 92064-2370 | 2010-05-25 |
| 1891010120 | Michael Chien-yu Lin | Radiology | 13915 Danielson St, Suite 200, Poway, CA 92064-8884 | 2010-03-30 |
| 1902013915 | Charles Dudley Lee | Radiology | 16643 Maverick Ln, Poway, CA 92064-1613 | 2007-05-17 |
| 1821036351 | Advanced Radiology Conultants, A Medical Corporation | Radiology | 13518 Willow Run Rd, Poway, CA 92064-1734 | 2006-06-04 |
| 1720322894 | Stat Radiology Medical Corporation | Radiology | 13915 Danielson St, Suite 200, Poway, CA 92064-8884 | 2012-11-15 |
| 1184665937 | Ronald M Sokoloff | Radiology | 13518 Willow Run Rd, Poway, CA 92064-1734 | 2006-06-10 |
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| 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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| 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.