SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. (NPI# 1740532670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740532670 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
4002 Vista Way Oceanside CA 92056-4506 |
| Mailing Address |
Po Box 23540 San Diego CA 92193-3540 |
| Practice Telephone | 7609407470 |
| Practice Fax Number | 7609404084 |
| Mailing Telephone | 8585650950 |
| Mailing Fax Number | 8585652863 |
| Enumeration Date | 2012-10-02 |
| 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 |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| 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 |
| 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 |
| Street Address |
4002 VISTA WAY |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780997 | Bruce J Biederman | Radiology | 4002 Vista Way, Oceanside, CA 92056-4506 | 2005-06-15 |
| 1629686241 | Antony and Paul Healthcare, Inc | Internal Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2020-07-20 |
| 1780200204 | Avalon Scopellite | Speech-Language Pathologist | 4002 Vista Way, Oceanside, CA 92056-4506 | 2020-06-20 |
| 1457919367 | Michelle Mccaslin | Speech-Language Pathologist | 4002 Vista Way, Oceanside, CA 92056-4506 | 2019-06-05 |
| 1467926295 | Michael Demasco | Emergency Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2019-01-15 |
| 1083198238 | Christopher Roy Smith Carman | Counselor | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-09-23 |
| 1033697669 | Hospitalist Medicine Physicians of California - Oceanside | Internal Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-08-06 |
| 1750879714 | Patricia Matthews | Dietitian, Registered | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-04-25 |
| 1942707898 | Andrew Fischer Md LLC | Emergency Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-04-08 |
| 1316447246 | Vuong Nguyen | Dietitian, Registered | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| 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 |
|---|---|---|---|---|
| 1376976688 | Arthur John Day | Radiology | 4710 Denia Way, Oceanside, CA 92056-5145 | 2013-08-10 |
| 1760619688 | Brendon G Tillman | Radiology | 200 Mercy Circle, Nhcp, Attn: Radiology Department, Oceanside, CA 92055 | 2009-06-18 |
| 1437131992 | Harry Leo Stein | Radiology | 185 Merrick Road, Radiological Associates of Long Island PC, Oceanside, NY 11572 | 2005-11-18 |
| 1235131764 | Lucille Patricia Taverna | Radiology | 185 Merrick Rd, Radiological Associates of Long Island PC, Oceanside, NY 11572-1431 | 2005-08-15 |
| 1477177400 | Icahn School of Medicine At Mount Sinai | Radiology | 185 Merrick Rd, Oceanside, NY 11572-1431 | 2020-06-05 |
| 1487917621 | Cyrus Shabrang | Radiology | 4002 Vista Way, Oceanside, CA 92056 | 2012-06-22 |
| 1437443413 | Michael Noud | Radiology | 3156 Vista Way, Suite 100, Oceanside, CA 92056-3622 | 2011-06-07 |
| 1275837882 | Sn Radiological Practice PC | Radiology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2010-12-23 |
| 1871759670 | Vinh Q Phan | Radiology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2008-07-31 |
| 1245491208 | Kiran Roshan Patel | Radiology | 3156 Vista Way, Suite 100, Oceanside, CA 92056-3622 | 2008-06-23 |
| Find all providers in OCEANSIDE | ||||
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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.