SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. (NPI# 1861788093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861788093 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
3010 Childrens Way Suite Ll220 San Diego CA 92123-4223 |
| Mailing Address |
Po Box 23540 San Diego CA 92193-3540 |
| Practice Telephone | 8589394550 |
| Mailing Telephone | 8585650950 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | NORMAN C. CHEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8585650950 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| 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 |
3010 CHILDRENS WAY SUITE LL220 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013996529 | Kyung E Rhee | Pediatrics | 3010 Childrens Way, San Diego, CA 92123-4223 | 2006-01-12 |
| 1770145260 | Anna Karam | Student in an Organized Health Care Education/Training Program | 3010 Childrens Way, San Diego, CA 92123-4223 | 2019-07-03 |
| 1982091740 | Anusha Preethi Ganesan | Pediatrics | 3010 Childrens Way, 2-west, San Diego, CA 92123-4223 | 2015-04-20 |
| 1427495894 | Megan Rose Paul | Pediatrics | 3010 Childrens Way, San Diego, CA 92123-4223 | 2013-05-25 |
| 1154662583 | Maria Paula Aristizabal | Pediatrics | 3010 Childrens Way, 2-west, San Diego, CA 92123-4223 | 2013-03-11 |
| 1154692473 | Victor Wong | Pediatrics | 3010 Childrens Way, 2-west, San Diego, CA 92123-4223 | 2012-01-18 |
| 1962772970 | Christina Marie Killian-benigno | Nurse Practitioner | 3010 Childrens Way, 2-west, San Diego, CA 92123-4223 | 2012-01-06 |
| 1326315599 | Jennifer Caroline Yu | Pediatrics | 3010 Childrens Way, 2-west, San Diego, CA 92123-4223 | 2011-11-16 |
| 1770871105 | Yoko Tina Udaka | Pediatrics | 3010 Childrens Way, San Diego, CA 92123-4223 | 2011-07-19 |
| 1760774723 | Sharp and Children's Mri Center LLC | Clinic/Center | 3010 Childrens Way, Suite Ll220, San Diego, CA 92123-4223 | 2011-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| 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 |
| 1124394903 | Next Image Medical Inc. | Clinic/Center | 3390 Carmel Mountain Rd Ste 150, San Diego, CA 92121-1002 | 2012-03-27 |
| 1639441496 | Sound Imaging, Inc. | Clinic/Center | 8390 Miramar Pl, Suite A, San Diego, CA 92121-2104 | 2012-02-08 |
| 1053445528 | California Orthopaedic Institute Medical Associates, Inc | Clinic/Center | 7485 Mission Valley Rd Ste 101, San Diego, CA 92108-4422 | 2007-03-15 |
| 1568855526 | Access Imaging, LLC | Clinic/Center | 5395 Ruffin Rd, 100, San Diego, CA 92123-1338 | 2015-03-13 |
| 1457788838 | Del Mar Medical Imaging Inc | Clinic/Center | 12264 El Camino Real, 102, San Diego, CA 92130-3058 | 2013-10-01 |
| 1063846012 | Delmar Medical Imaging Inc | Clinic/Center | 12264 El Camino Real, San Diego, CA 92130-3058 | 2013-08-27 |
| 1144507906 | Nextimage Holdings LLC | Clinic/Center | 3390 Carmel Mountain Rd, Suite 150, San Diego, CA 92121-1002 | 2011-11-08 |
| 1619263639 | Rpn of California | Clinic/Center | 3405 Kenyon St, #202, San Diego, CA 92110-5003 | 2011-06-28 |
| 1760774723 | Sharp and Children's Mri Center LLC | Clinic/Center | 3010 Childrens Way, Suite Ll220, San Diego, CA 92123-4223 | 2011-05-10 |
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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.