WAVE IMAGING, LLC (NPI# 1093149197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093149197 |
| Entity Type | Organization |
| Organization Name | WAVE IMAGING, LLC |
| Other Organization Name | MEMORIALCARE IMAGING CENTER-LAGUNA NIGUEL |
| Practice Address |
25500 Rancho Niguel Rd Suite 120 Laguna Niguel CA 92677-7302 |
| Mailing Address |
17360 Brookhurst St Fountain Valley CA 92708-3720 |
| Practice Telephone | 9493623973 |
| Practice Fax Number | 9493623977 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2015-02-09 |
| 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-Laguna Niguel | 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 |
| 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 |
| 1083047955 | Wave Imaging, LLC | Clinic/Center | 4050 Barranca Pkwy, Suite 160, Irvine, CA 92604-7706 | 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 |
25500 RANCHO NIGUEL RD SUITE 120 |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767170 | Sonja Stumme Krafcik | Internal Medicine | 25500 Rancho Niguel Rd, Suite 150, Laguna Niguel, CA 92677-7302 | 2005-08-12 |
| 1093258188 | Todd Snyder | Dentist | 25500 Rancho Niguel Rd, Suite 230, Laguna Niguel, CA 92677-7302 | 2016-11-22 |
| 1255764122 | Wave Imaging, LLC | Clinic/Center | 25500 Rancho Niguel Rd, Suite 140, Laguna Niguel, CA 92677-7302 | 2013-08-15 |
| 1447694260 | Sahar Doostzadeh | Dentist | 25500 Rancho Niguel Rd, Suite 160, Laguna Niguel, CA 92677-7302 | 2013-04-23 |
| 1831487958 | Fiona G Anderson | Nurse Practitioner | 25500 Rancho Niguel Rd, Suite 240, Laguna Niguel, CA 92677-7302 | 2011-07-11 |
| 1356637813 | Christopher Michael Davis | Family Medicine | 25500 Rancho Niguel Rd, Suite 100, Laguna Niguel, CA 92677-7302 | 2011-06-23 |
| 1649575770 | Brian Thomas Edwards | Dentist | 25500 Rancho Niguel Rd, Suite #210, Laguna Niguel, CA 92677-7302 | 2011-01-21 |
| 1629207378 | Heidi Vivian Cipollone Herrera | Pediatrics | 25500 Rancho Niguel Rd, L, Laguna Niguel, CA 92677-7302 | 2009-07-02 |
| 1720213457 | Cheryl Stahl | Dentist | 25500 Rancho Niguel Rd, Laguna Niguel, CA 92677-7302 | 2009-05-26 |
| 1073767828 | Sarah Kathryn Belderes | Dentist | 25500 Rancho Niguel Rd, Ste 210, Laguna Niguel, CA 92677-7302 | 2008-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255764122 | Wave Imaging, LLC | Clinic/Center | 25500 Rancho Niguel Rd, Suite 140, Laguna Niguel, CA 92677-7302 | 2013-08-15 |
| 1033350228 | West Coast Petct LLC | Clinic/Center | 27882 Forbes Rd, Suite 120, Laguna Niguel, CA 92677-1267 | 2009-03-17 |
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| 1952924599 | Oracle Imaging Inc. | Clinic/Center | 6941 Brockton Ave, Riverside, CA 92506-3803 | 2020-05-18 |
| 1720625742 | F&m Radiology Medical Center Inc | Clinic/Center | 17779 Ventura Blvd # 100, Encino, CA 91316-3717 | 2019-12-09 |
| 1982240321 | United Care Foundation | Clinic/Center | 2233 Watt Ave Ste 120, Sacramento, CA 95825-0569 | 2019-11-20 |
| 1932744893 | Westcoast Radiology Associates Pllc | Clinic/Center | 4193 Flat Rock Dr Ste 200, Riverside, CA 92505-7113 | 2019-11-14 |
| 1518502087 | Ishraf Corporation | Clinic/Center | 5720 Stoneridge Mall Rd Ste 288, Pleasanton, CA 94588-2830 | 2019-11-08 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
Please comment or provide details below to improve the information on WAVE IMAGING, LLC.
| 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.