INNOVATIVE ULTRASOUND IMAGING, INC. (NPI# 1811310766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811310766 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE ULTRASOUND IMAGING, INC. |
| Practice Address |
6699 Alvarado Rd Ste 2302 San Diego CA 92120-5241 |
| Mailing Address |
Po Box 80218 Rancho Santa Margarita CA 92688-0218 |
| Practice Telephone | 9493137736 |
| Practice Fax Number | 9493137737 |
| Mailing Telephone | 9493137736 |
| Mailing Fax Number | 9493137737 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MARK KOESTER (PRESIDENT) |
| Authorized Official Telephone | 9493137736 |
| Authorized Official Credential | RMSK |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 41 San Sebastian, Rancho Santa Margarita, CA 926882506 | 9493221666 | 4805580131 |
| Street Address |
6699 ALVARADO RD STE 2302 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720593098 | Mark Koester | Radiology | 6699 Alvarado Rd Ste 2302, San Diego, CA 92120-5241 | 2017-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912294950 | Karen Bonham | Radiologic Technologist | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203313 | Randy Michael Gines | Radiologic Technologist | 398 Cypress Ave Unit 321, South San Francisco, CA 94080-3775 | 2020-07-30 |
| 1689132532 | Kevork Krajian | Radiologic Technologist | 2645 Risa Dr, Glendale, CA 91208-2355 | 2019-03-11 |
| 1699264309 | Shih-kang Cheng | Radiologic Technologist | 6359 San Rufo Cir, Buena Park, CA 90620-3639 | 2018-05-08 |
| 1649777814 | Jaimini Samir Shah | Radiologic Technologist | 780 Berryessa St, Livermore, CA 94551-8891 | 2018-04-12 |
| 1205377686 | Iheart Imaging | Radiologic Technologist | 722 Gleneagle Ave, Hayward, CA 94544-7208 | 2017-03-17 |
| 1275079949 | Kristen Mitchell | Radiologic Technologist | 5940 E Pontiac Way, Fresno, CA 93727-7941 | 2017-01-18 |
| 1700320215 | Joy K Clay | Radiologic Technologist | 760 Saratoga Ave Apt Z105, San Jose, CA 95129-2435 | 2016-12-19 |
| 1780134379 | Katerina Boghosian | Radiologic Technologist | 11043 Scoville Ave, Sunland, CA 91040-2013 | 2016-10-07 |
| 1467809558 | Lizandra Vargas | Radiologic Technologist | 9414 Slauson Ave, Pico Rivera, CA 90660 | 2016-05-18 |
| 1316319726 | Happy Feet Imaging, Inc. | Radiologic Technologist | 13585 Whittier Blvd, Suite 104, Whittier, CA 90605-4442 | 2015-10-24 |
| 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.