RADIOLOGICAL ASSOCIATES MEDICAL GROUP, INC (NPI# 1609345776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609345776 |
| Entity Type | Organization |
| Organization Name | RADIOLOGICAL ASSOCIATES MEDICAL GROUP, INC |
| Practice Address |
765 La Mirada Ave San Marino CA 91108-1729 |
| Mailing Address |
2410 Samaritan Dr Ste 101 San Jose CA 95124-3909 |
| Practice Telephone | 5594554042 |
| Practice Fax Number | 9165330313 |
| Mailing Telephone | 4083710390 |
| Mailing Fax Number | 4083710462 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | SABRINA BRUCE (CREDENTIALING LEAD) |
| Authorized Official Telephone | 5594554009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374259 | Radiological Associates Medical Group, Inc | Radiology | 7 Nightshore, Newport Coast, CA 92657-1519 | 2018-11-05 |
| 1588132831 | Radiological Associates Medical Group, Inc | Radiology | 765 La Mirada Ave, San Marino, CA 91108-1729 | 2018-11-05 |
| 1356352660 | Radiological Associates Medical Group, Inc | Radiology | 2410 Samaritan Drive, Suite 102, San Jose, CA 95124-3909 | 2006-08-11 |
| 1588133656 | Radiological Associates Medical Group, Inc | Radiology | 1202 Chelshurst Way, Spring, TX 77379-3247 | 2018-11-19 |
| 1306315478 | Radiological Associates Medical Group, Inc | Radiology | 3731 Torrey View Ct, San Diego, CA 92130-2623 | 2018-11-19 |
| 1215406384 | Radiological Associates Medical Group, Inc | Radiology | 3224 Freshwater Crk, Chico, CA 95973-2120 | 2018-11-19 |
| 1124597299 | Radiological Associates Medical Group, Inc | Radiology | 215 Tiburon Ct, Walnut Creek, CA 94597-3437 | 2018-11-19 |
| 1033688106 | Radiological Associates Medical Group, Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2018-11-19 |
| 1265901334 | Radiological Associates Medical Group, Inc | Radiology | 3750 Whitman Cir, Carmel, CA 93923-8326 | 2018-11-19 |
| 1144799214 | Radiological Associates Medical Group, Inc | Radiology | 7 Nightshore, Newport Coast, CA 92657-1519 | 2018-11-19 |
| Street Address |
765 LA MIRADA AVE |
| City | SAN MARINO |
| State | CA |
| Zip Code | 91108-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588132831 | Radiological Associates Medical Group, Inc | Radiology | 765 La Mirada Ave, San Marino, CA 91108-1729 | 2018-11-05 |
| 1114491479 | Kennewick Radiology Group, PC | Radiology | 765 La Mirada Ave, San Marino, CA 91108-1729 | 2019-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781808 | Bhc Alhambra Hospital, Inc. | Psychiatric Residential Treatment Facility | 1925 Lombardy Road, San Marino, CA 91108 | 2019-07-12 |
| 1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1649729831 | Harvey A Luu | Dentist | 1085 Winston Ave, San Marino, CA 91108 | 2016-09-28 |
| 1629438643 | Ellen Marie Tan | Marriage & Family Therapist | 1625 So. Chelsea Rd. Ellen M. Tan, Mft, San Marino, CA 91108 | 2016-03-03 |
| 1144696592 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 375 Huntington Dr. Ste. D, San Marino, CA 91108 | 2015-08-19 |
| 1386068237 | Dorothy Agnes Mcvann | General Practice | 764 Winston Ave., San Marino, CA 91108 | 2014-02-13 |
| 1215372040 | Doctors Choice Medical Group | Exclusive Provider Organization | 2295-a Huntington Drive, San Marino, CA 91108 | 2013-05-07 |
| 1831449222 | Apcn-aco, A Medical Professional Corp | Exclusive Provider Organization | 2360 Huntington Drive #201, C/o Mso, Inc. of Southern California, San Marino, CA 91108 | 2012-09-13 |
| 1538499777 | Elsa Busch | Psychologist | 1420 Ridgeway Rd, San Marino, CA 91108 | 2010-01-11 |
| Find all providers in zip 91108 | ||||
| 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 |
|---|---|---|---|---|
| 1588132831 | Radiological Associates Medical Group, Inc | Radiology | 765 La Mirada Ave, San Marino, CA 91108-1729 | 2018-11-05 |
| 1003111642 | Shendee Teng | Radiology | 1595 Rubio Dr, San Marino, CA 91108-2742 | 2011-01-12 |
| 1699859520 | Jimmy Chanbonpin | Radiology | 1654 S El Molino Ave, San Marino, CA 91108-1701 | 2006-10-25 |
| 1114491479 | Kennewick Radiology Group, PC | Radiology | 765 La Mirada Ave, San Marino, CA 91108-1729 | 2019-01-18 |
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| 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 | SAN MARINO |
| Zip Code | 91108 |
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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.