LIN & WILSON RADIOLOGY MEDICAL GROUP INC (NPI# 1164467205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164467205 |
Entity Type | Organization |
Organization Name | LIN & WILSON RADIOLOGY MEDICAL GROUP INC |
Other Organization Name | PLAZA MEDICAL IMAGING CENTER |
Practice Address |
3731 S Plaza Dr Santa Ana CA 92704-7463 |
Practice Telephone | 7149180478 |
Mailing Telephone | 7149180478 |
Enumeration Date | 2006-06-20 |
Last Update Date | 2007-11-16 |
Authorized Official Name | DR. ALEXANDER S LIN (PRESIDENT) |
Authorized Official Telephone | 7147446108 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
REG. # 63463 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
PLAZA MEDICAL IMAGING CENTER | Doing Business As Name - Organization |
Street Address |
3731 S PLAZA DR |
City | SANTA ANA |
State | CA |
Zip Code | 92704-7463 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376055152 | Plaza Medical Imaging | Clinic/Center | 3731 S Plaza Dr, Santa Ana, CA 92704-7463 | 2017-11-01 |
1952314601 | Alexander S. Lin | Radiology | 3731 S Plaza Dr, Santa Ana, CA 92704-7463 | 2006-08-14 |
1598787715 | Brian C Wilson | Radiology | 3731 S Plaza Dr, Santa Ana, CA 92704-7463 | 2006-07-24 |
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1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
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Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
1699222117 | New Hope Imaging Services, LLC | Clinic/Center | 2412 S. Fairview Street, Suite 202-b, Santa Ana, CA 92704 | 2016-09-01 |
1497058242 | Advantage Plus Mri, Inc | Clinic/Center | 600 Northtustin Avenue, Suite 100, Santa Ana, CA 92705 | 2010-12-17 |
1053975052 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 800 N Tustin Ave Ste M, Santa Ana, CA 92705-3605 | 2019-04-24 |
1376055152 | Plaza Medical Imaging | Clinic/Center | 3731 S Plaza Dr, Santa Ana, CA 92704-7463 | 2017-11-01 |
1770834830 | Orange County Imaging Specialists | Clinic/Center | 1001 N Tustin Ave, Santa Ana, CA 92705-3502 | 2012-09-28 |
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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.