SAN DIEGO DIAGONSTIC RADIOLOGY MEDICAL GROUP, INC. (NPI# 1225069883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225069883 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO DIAGONSTIC RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
751 Medical Center Ct Sharp Chula Vista Medical Center Chula Vista CA 91911-6617 |
| Mailing Address |
Po Box 23540 San Diego CA 92193-3540 |
| Practice Telephone | 6194823639 |
| Practice Fax Number | 6194824032 |
| Mailing Telephone | 8585650950 |
| Mailing Fax Number | 8582441100 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | NORMAN C. CHEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8585650950 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | B1982005164 | CA | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
B1982005164 | CA | Allopathic & Osteopathic Physicians |
| N | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
B1982005164 | CA | Allopathic & Osteopathic Physicians |
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
B1982005164 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
B198200516 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
B1982005164 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
B198200516 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
B198200516 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0083812 | 05 |
| Street Address |
751 MEDICAL CENTER CT SHARP CHULA VISTA MEDICAL CENTER |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-6617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277302 | Lynn Ellis Welling | Emergency Medicine | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2005-07-07 |
| 1841851375 | Lindsey Lehman | Nurse Practitioner | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2019-06-25 |
| 1679041438 | Giuliano Amantea Zolin | Nurse Practitioner | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2018-11-08 |
| 1316445430 | Karen Kobayashi Inc | Obstetrics & Gynecology | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2018-01-23 |
| 1053762005 | Charles Brown | Nurse Practitioner | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2016-06-30 |
| 1821445479 | Sharp Chula Vista Medical Center | General Acute Care Hospital | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2016-05-24 |
| 1477900751 | Koura Md Inc | Internal Medicine | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2016-05-17 |
| 1548614506 | Myrna Sanchez | Nurse Practitioner | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2016-04-15 |
| 1760847586 | Elion Brace Md Inc | Internal Medicine | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2015-12-21 |
| 1598161309 | Luisa Olvera | Nurse Practitioner | 751 Medical Center Ct, Chula Vista, CA 91911-6617 | 2014-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841265709 | John Michael Maher | Radiology | 1141 Crystal Downs Dr, Chula Vista, CA 91915-1223 | 2006-02-22 |
| 1548297088 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 765 Medical Center Ct, San Diego Imaging - Chula Vista, Chula Vista, CA 91911-6600 | 2006-06-28 |
| 1528006632 | Nina Imaging | Radiology | 835 3rd Ave, Suite #a2, Chula Vista, CA 91911-1352 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
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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.