WAVE IMAGING, LLC (NPI# 1083047955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083047955 |
| Entity Type | Organization |
| Organization Name | WAVE IMAGING, LLC |
| Other Organization Name | MEMORIALCARE IMAGING CENTER-IRVINE |
| Practice Address |
4050 Barranca Pkwy Suite 160 Irvine CA 92604-7706 |
| Mailing Address |
17360 Brookhurst St Fountain Valley CA 92708-3720 |
| Practice Telephone | 9497269500 |
| Practice Fax Number | 9494511724 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | MARK D SCHAFER (MANAGER) |
| Authorized Official Telephone | 6572413500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MemorialCare Imaging Center-Irvine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538555735 | Wave Imaging, LLC | Clinic/Center | 18785 Brookhurst St, Suite 102, Fountain Valley, CA 92708 | 2015-04-14 |
| 1093149197 | Wave Imaging, LLC | Clinic/Center | 25500 Rancho Niguel Rd, Suite 120, Laguna Niguel, CA 92677-7302 | 2013-08-26 |
| 1720412828 | Wave Imaging, LLC | Clinic/Center | 7677 Center Ave, Suite 212, Huntington Beach, CA 92647-3074 | 2013-08-26 |
| 1982037859 | Wave Imaging, LLC | Clinic/Center | 3300 W Coast Hwy, Suite B, Newport Beach, CA 92663-4026 | 2013-08-15 |
| 1538592407 | Wave Imaging, LLC | Clinic/Center | 7677 Center Ave, Suite 103, Huntington Beach, CA 92647-3074 | 2013-08-15 |
| 1255764122 | Wave Imaging, LLC | Clinic/Center | 25500 Rancho Niguel Rd, Suite 140, Laguna Niguel, CA 92677-7302 | 2013-08-15 |
| 1073946943 | Wave Imaging, LLC | Clinic/Center | 3828 Schaufele Ave, Ste 250, Long Beach, CA 90808-1793 | 2013-08-15 |
| Street Address |
4050 BARRANCA PKWY SUITE 160 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403667 | Gunjan Bhatnagar | Obstetrics & Gynecology | 4050 Barranca Pkwy, #210, Irvine, CA 92604-7706 | 2005-08-03 |
| 1093112609 | Hossein Alimadadian Md Inc | Internal Medicine | 4050 Barranca Pkwy, Suite 110, Irvine, CA 92604-7706 | 2014-11-25 |
| 1154673390 | Pars Pharmacy, Inc. | Pharmacy | 4050 Barranca Pkwy, Suite 150, Irvine, CA 92604-7706 | 2012-10-12 |
| 1750641874 | Jason Alan Dugan | Internal Medicine | 4050 Barranca Pkwy, Suite 200, Irvine, CA 92604-7706 | 2012-05-22 |
| 1538428842 | Hamideh Falsafi | Naturopath | 4050 Barranca Pkwy, Suite 265, Irvine, CA 92604-7706 | 2012-05-07 |
| 1902173362 | Betty Chen | Dentist | 4050 Barranca Pkwy, Suite 220, Irvine, CA 92604-7706 | 2011-11-29 |
| 1356582183 | Samy Younis Md, Inc. | Internal Medicine | 4050 Barranca Pkwy, Suite 240, Irvine, CA 92604-7706 | 2009-03-06 |
| 1902069578 | Fredric D. Balguma | Family Medicine | 4050 Barranca Pkwy, Suite 200, Irvine, CA 92604-7706 | 2008-07-03 |
| 1609048396 | Robila Ashfaq | Family Medicine | 4050 Barranca Pkwy, Ste 265, Irvine, CA 92604-7706 | 2008-04-02 |
| 1265612220 | Samy Younis Md | Family Medicine | 4050 Barranca Pkwy, Suite 240, Irvine, CA 92604-7706 | 2007-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1396846762 | Functional Restoration Medical Center, Inc | Clinic/Center | 15825 Laguna Canyon Rd, Suite 101, Irvine, CA 92618-2125 | 2006-09-26 |
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| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
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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.