SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. (NPI# 1578816617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578816617 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
255 N Elm St Suite 204 Escondido CA 92025-3431 |
| Mailing Address |
Po Box 23540 San Diego CA 92193-3540 |
| Practice Telephone | 7602940870 |
| Practice Fax Number | 7602940871 |
| 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 |
| 1295088334 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 15525 Pomerado Rd, Suite E2, Poway, CA 92064-2435 | 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 |
255 N ELM ST SUITE 204 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708366 | Sd Imaging, LLC | Radiologic Technologist | 255 N Elm St, Ste 102, Escondido, CA 92025-3431 | 2005-05-31 |
| 1366841058 | Naike Cohen | Physical Therapist | 255 N Elm St, Ste. 202, Escondido, CA 92025-3431 | 2014-08-19 |
| 1982028114 | Snaford Behrens | Urology | 255 N Elm St, Escondido, CA 92025-3431 | 2014-02-07 |
| 1881930949 | North County Vascular Center A Ca Professional Medical Corporation | Pain Medicine | 255 N Elm St, Suite 204, Escondido, CA 92025-3431 | 2012-12-18 |
| 1326306762 | Kaleb Blair Cullison | Physical Therapist | 255 N Elm St, Ste. 202, Escondido, CA 92025-3431 | 2012-04-23 |
| 1679892020 | Dawn Marie Higgins | Physical Therapist | 255 N Elm St, Suite 202, Escondido, CA 92025-3431 | 2010-05-25 |
| 1861650632 | Kevin Lee Metros, M.d. | Specialist | 255 N Elm St, Suite 204, Escondido, CA 92025-3431 | 2008-05-29 |
| 1184804999 | Jon P. Kelly, M.d., A Medical Corporation | Specialist | 255 N Elm St, Suite 105, Escondido, CA 92025-3431 | 2007-11-08 |
| 1003947136 | Jose G Veliz Md Inc | Specialist | 255 N Elm St, Ste 101, Escondido, CA 92025-3431 | 2007-03-08 |
| 1396873519 | Rancho Physical Therapy, Inc. | Physical Therapist | 255 N Elm St, Suite 202, Escondido, CA 92025-3431 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| 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 |
| 1255590535 | Harold George Coons | Clinic/Center | 2936 Calle De Malibu, Escondido, CA 92029-5811 | 2008-06-03 |
| 1679825764 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 1955 Citracado Pkwy, Suite 100, Escondido, CA 92029-4110 | 2012-10-12 |
| 1689635930 | Escondido Imaging Center | Clinic/Center | 355 E Grand Ave, Suite 3, Escondido, CA 92025-3313 | 2006-03-28 |
| 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.