SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. (NPI# 1295088334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295088334 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
15525 Pomerado Rd Suite E2 Poway CA 92064-2435 |
| Mailing Address |
Po Box 23540 San Diego CA 92193-3540 |
| Practice Telephone | 8585210031 |
| Mailing Telephone | 8585650950 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2017-04-11 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962742874 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 1817 Avenida Del Diablo, Escondido, CA 92029-3112 | 2013-03-01 |
| 1104265396 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 354 Santa Fe Dr, Encinitas, CA 92024-5142 | 2013-06-20 |
| 1578816617 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 255 N Elm St, Suite 204, Escondido, CA 92025-3431 | 2012-10-25 |
| 1730432972 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2012-10-25 |
| 1548513393 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 2095 W Vista Way, Suite 101, Vista, CA 92083-6027 | 2012-10-17 |
| 1679825764 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 1955 Citracado Pkwy, Suite 100, Escondido, CA 92029-4110 | 2012-10-12 |
| 1962754077 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 3909 Waring Rd, Suite C, Oceanside, CA 92056-4455 | 2012-10-12 |
| 1376894204 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 2185 W Citracado Pkwy, Escondido, CA 92029-4159 | 2012-10-02 |
| 1144571076 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 15615 Pomerado Rd, Poway, CA 92064-2405 | 2012-10-02 |
| 1841541760 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2012-10-02 |
| Street Address |
15525 POMERADO RD SUITE E2 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519955 | Debra Joan Abel | Audiologist | 15525 Pomerado Rd, E-1, Poway, CA 92064-2435 | 2005-06-24 |
| 1619412806 | Waves, A Psychological Corporation | Psychologist | 15525 Pomerado Rd, Suite C-5, Poway, CA 92064-2435 | 2016-12-27 |
| 1083003586 | San Diego Psychological Center Inc. | Psychologist | 15525 Pomerado Rd, Suite B3, Poway, CA 92064-2435 | 2015-01-21 |
| 1871994905 | Tracy Daly | Dietitian, Registered | 15525 Pomerado Rd, Suite B-1, Poway, CA 92064-2435 | 2014-09-08 |
| 1144655507 | Blue Skies Behavioral Health | Clinic/Center | 15525 Pomerado Rd, Suite B-1, Poway, CA 92064-2435 | 2013-09-04 |
| 1598047086 | Sarah L Jacobs-paul | Counselor | 15525 Pomerado Rd, Suite C-5, Poway, CA 92064-2435 | 2011-09-12 |
| 1568750438 | Amanda Louise Peeler | Physical Therapist | 15525 Pomerado Rd, Ste D4, Poway, CA 92064-2435 | 2011-07-13 |
| 1952694408 | Erika Swift Holtermann | Psychologist | 15525 Pomerado Rd, Suite B-1, Poway, CA 92064-2435 | 2011-05-17 |
| 1124310917 | Cpte Physical Therapy Professional Corporation | Physical Therapist | 15525 Pomerado Rd, Ste D4, Poway, CA 92064-2435 | 2011-05-11 |
| 1093006512 | Arch Health Partners | Audiologist | 15525 Pomerado Rd, Sute C-1, Poway, CA 92064-2435 | 2011-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467503664 | Digirad Imaging Solutions, Inc. | Clinic/Center | 13950 Stowe Dr, Poway, CA 92064-8803 | 2007-01-15 |
| 1508919978 | Dis Aquisition Corp | Clinic/Center | 13950 Stowe Dr, Poway, CA 92064-8803 | 2007-01-19 |
| 1689635971 | Fully Open Mri of Rancho Bernardo LLC Dba Pomerado Imaging | Clinic/Center | 15725 Pomerado Rd, Suite 109, Poway, CA 92064-2068 | 2006-03-28 |
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| 1164049508 | Ohni Imaging Inc | Clinic/Center | 8631 W 3rd St # 945e, Los Angeles, CA 90048-5901 | 2020-07-01 |
| 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 | ||||
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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.