IMAGING HEALTHCARE SPECIALISTS MEDICAL GROUP, INC.


Address: 6256 Greenwich Dr, Suite 150, San Diego, CA 92122-5941
Phone: 8665584320

IMAGING HEALTHCARE SPECIALISTS MEDICAL GROUP, INC. (NPI# 1750498093) 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) 1750498093
Entity Type Organization
Organization Name IMAGING HEALTHCARE SPECIALISTS MEDICAL GROUP, INC.
Practice Address 6256 Greenwich Dr
Suite 150
San Diego
CA 92122-5941
Mailing Address File 1317 1801 W Olympic Blvd
Pasadena
CA 91199-1317
Practice Telephone 8665584320
Practice Fax Number 6192948399
Mailing Telephone 8889278018
Mailing Fax Number 8005084751
Enumeration Date 2006-08-24
Last Update Date 2013-10-29
Authorized Official Name THOMAS D CLEARY (PRESIDENT & CEO)
Authorized Official Telephone 8665584320
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207U00000X Nuclear Medicine Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0103685 05
CA GR010368D 05
CA GR0103682 05
CA GR010368C 05
CA GR0103686 05
CA GR0103689 05
CA GR0103688 05
CA GR0103687 05
CA GR010368A 05
CA GR0103683 05
CA GR0103684 05
CA GR0103680 05
CA GR0103681 05
CA GR010368B 05

Office Location

Street Address 6256 GREENWICH DR
SUITE 150
City SAN DIEGO
State CA
Zip Code 92122-5941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497708622 James A Cooper Radiology 6256 Greenwich Dr, Suite 150, San Diego, CA 92122-5941 2006-05-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912561630 Neal Yacoo Pharmacist 9085 Judicial Drive #2137, San Diego, CA 92122 2019-04-29
1598242828 Gena Rachel Katzer Social Worker 3246 Willard St, San Diego, CA 92122 2018-07-19
1164919791 Janine Marie Battaglia Nurse Practitioner Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 2018-04-19
1669991899 Lindsay Y Ditmars Pharmacist 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 2017-09-19
1154747103 Rebecca Jackson Nurse Practitioner 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 2014-03-14
1851726582 Grace Lorelei Allen Doula 2728 Nansen Avenue, San Diego, CA 92122 2013-09-12
1427301894 Barry Katzman, M.d., Inc., Apc Optometrist 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 2012-10-22
1912295361 Yingjian Liang Psychiatry & Neurology Gillman Drive 9500, San Diego, CA 92122 2011-07-19
1467775486 David Michael Trejo Psychologist 5080 Shoreham Place, Suite 103, San Diego, CA 92122 2010-03-04
1225369556 Jeffrey J Abrams Internal Medicine 3395 Willard St, San Diego, CA 92122 2010-01-27
Find all providers in zip 92122

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
1790208155 St. Jude Radiology Medical Group, Inc. Radiology 8070 Entrada De Luz E, San Diego, CA 92127-2561 2017-07-18
1225586423 Regional Diagnostic Imaging Radiology 3731 Torrey View Ct, San Diego, CA 92130-2623 2016-09-15
1093127680 William James Tom Radiology 200 West Arbor Drive, Mc 0834, San Diego, CA 92103-0834 2014-05-30
1649697947 Ashley Caitlin Altman Radiology Uc San Diego Health, 200 West Arbor Drive, Mc 8829, San Diego, CA 92103 2014-03-25
1477811693 Michele Christina Mcgahan Radiology 8745 Aero Drive #200, San Diego, CA 92193-3540 2012-04-25
1447557996 Luke R Scalcione Radiology 7540 Charmant Dr, Apt 1216, San Diego, CA 92122-5044 2011-02-18
1144537606 Jasmine Jamin Koo Radiology 5330 Carroll Canyon Rd Ste 140, San Diego, CA 92121-3758 2010-09-04
1265743595 David R Wallace Jr. Radiology 200 W Arbor Dr # Mc0834, Department of Radiology, San Diego, CA 92102-0834 2010-07-01
1881837748 John Joseph Krol Radiology 11125 Red Cedar Dr, San Diego, CA 92131-1309 2009-04-08
1700022712 Thomas N. Folan Radiology 425 W Beech St Unit 1707, San Diego, CA 92101-2965 2008-12-22
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92122

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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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