BACK BAY IMAGING INC. (NPI# 1891232294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891232294 |
| Entity Type | Organization |
| Organization Name | BACK BAY IMAGING INC. |
| Practice Address |
301 Bayview Cir Suite 105 Newport Beach CA 92660-2948 |
| Mailing Address |
4640 Admiralty Way Suite 102 Marina Del Rey CA 90292-6621 |
| Practice Telephone | 3107364395 |
| Mailing Telephone | 3107364395 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | ROBERT PETZOLD (MANAGER) |
| Authorized Official Telephone | 3107364395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
301 BAYVIEW CIR SUITE 105 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366832479 | Horrigan Chiropractic and Performance, Apc | Clinic/Center | 301 Bayview Cir, Suite 218, Newport Beach, CA 92660-2948 | 2015-01-27 |
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|---|---|---|---|---|
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| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1881097095 | Wave Imaging LLC | Clinic/Center | 280 Newport Center Dr, Suite 100, Newport Beach, CA 92660-7526 | 2014-10-01 |
| 1982037859 | Wave Imaging, LLC | Clinic/Center | 3300 W Coast Hwy, Suite B, Newport Beach, CA 92663-4026 | 2013-08-15 |
| 1073528469 | Back Bay Medical LLC | Clinic/Center | 20311 Sw Acacia St, Suite 140, Newport Beach, CA 92660-1733 | 2006-07-31 |
| 1922038165 | Birch Medical Office Center, LLC | Clinic/Center | 20162 Sw Birch St, Suite 150, Newport Beach, CA 92660-0787 | 2006-07-04 |
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| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
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| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.