WEST COAST PETCT (NPI# 1548594278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548594278 |
| Entity Type | Organization |
| Organization Name | WEST COAST PETCT |
| Practice Address |
16300 Sand Canyon Ave Suite 103 Irvine CA 92618-3711 |
| Practice Telephone | 7148356055 |
| Mailing Telephone | 7148356055 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | MICHAEL L. BLACK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7148356055 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST COAST RADIOLOGY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
16300 SAND CANYON AVE SUITE 103 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790775971 | Anh T Dinh | Family Medicine | 16300 Sand Canyon Ave, 4th Floor, Irvine, CA 92618-3711 | 2005-10-27 |
| 1942846787 | Helen Ning Liu | Nurse Practitioner | 16300 Sand Canyon Ave, Irvine, CA 92618-3711 | 2019-11-26 |
| 1750743969 | Wei Wang | Internal Medicine | 16300 Sand Canyon Ave, Irvine, CA 92618-3711 | 2016-03-26 |
| 1356748602 | Robert A Baird Md Incorporated | Orthopaedic Surgery | 16300 Sand Canyon Ave, Suite 511, Irvine, CA 92618-3711 | 2014-12-02 |
| 1801222591 | California Therapy Solutions | Specialist | 16300 Sand Canyon Ave, Suite 401, Irvine, CA 92618-3711 | 2013-09-25 |
| 1124466313 | Newport Beach Ob/gyn Medical Group | Obstetrics & Gynecology | 16300 Sand Canyon Ave, Suite 301, Irvine, CA 92618-3711 | 2013-06-10 |
| 1619314630 | Mona Goodarzi Dds Dental Corporation | Dentist | 16300 Sand Canyon Ave, Suite 506, Irvine, CA 92618-3711 | 2013-05-30 |
| 1801239314 | Charles D. Hasse, D.d.s., Inc. | Clinic/Center | 16300 Sand Canyon Ave, Suite 711, Irvine, CA 92618-3711 | 2013-04-15 |
| 1629317995 | Personalcare Physicians of Irvine | Family Medicine | 16300 Sand Canyon Ave, Suite 209, Irvine, CA 92618-3711 | 2013-02-06 |
| 1962769968 | Jessica Colleen Mangonon | Pediatrics | 16300 Sand Canyon Ave, #811, Irvine, CA 92618-3711 | 2012-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083047955 | Wave Imaging, LLC | Clinic/Center | 4050 Barranca Pkwy, Suite 160, Irvine, CA 92604-7706 | 2013-08-15 |
| 1043451230 | West Coast Petct LLC | Clinic/Center | 16300 Sand Canyon Ave, Suite 103, Irvine, CA 92618-3711 | 2009-03-17 |
| 1063687648 | United Medical Radiology Network | Clinic/Center | 15825 Laguna Canyon Rd, # 101, Irvine, CA 92618-2125 | 2008-04-24 |
| 1265522536 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 15825 Laguna Canyon Rd, Suite # 101, Irvine, CA 92618-2125 | 2006-10-14 |
| 1396846762 | Functional Restoration Medical Center, Inc | Clinic/Center | 15825 Laguna Canyon Rd, Suite 101, Irvine, CA 92618-2125 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201012 | Whitsett Diagnostic Inc | Clinic/Center | 12444 Victory Blvd Ste 407, North Hollywood, CA 91606-3199 | 2020-07-02 |
| 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 |
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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.