SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.


Address: 1955 Citracado Pkwy, Suite 100, Escondido, CA 92029-4110
Phone: 7607433873

SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. (NPI# 1679825764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679825764
Entity Type Organization
Organization Name SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.
Practice Address 1955 Citracado Pkwy
Suite 100
Escondido
CA 92029-4110
Mailing Address Po Box 23540
San Diego
CA 92193-3540
Practice Telephone 7607433873
Practice Fax Number 7607433874
Mailing Telephone 8585650950
Mailing Fax Number 8585652863
Enumeration Date 2012-10-12
Last Update Date 2017-03-22
Authorized Official Name NORMAN C. CHEN (PRESIDENT/CEO)
Authorized Official Telephone 8585650950
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider IDs and Locations

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
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
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

Office Location

Street Address 1955 CITRACADO PKWY
SUITE 100
City ESCONDIDO
State CA
Zip Code 92029-4110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629071469 Bradley Howard Chesler Physical Medicine & Rehabilitation 1955 Citracado Pkwy, Suite 203, Escondido, CA 92029-4110 2005-05-24
1528510930 Chase Wagner Nurse Practitioner 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 2016-11-01
1881018067 Kimberly Marie Barmack Nurse Practitioner 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 2014-02-10
1730432469 Lc San Diego LLC Pharmacy 1955 Citracado Pkwy, Ste 101, Escondido, CA 92029-4110 2012-10-18
1518217330 Arch Health Partners Internal Medicine 1955 Citracado Pkwy, Ste 300, Escondido, CA 92029-4110 2012-09-19
1215201108 Maryam Balouch Internal Medicine 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 2012-02-24
1487892352 Arush Arvin Patel Orthopaedic Surgery 1955 Citracado Pkwy, # 200, Escondido, CA 92029-4110 2009-01-29
1619174133 Navinder Singh Sawhney Internal Medicine 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 2007-06-28
1114044633 Robert Duane Frost Physician Assistant 1955 Citracado Pkwy, Suite 200, Escondido, CA 92029-4110 2007-03-22
1063579423 Hidden Valley Surgical Med. Group, Inc. Surgery 1955 Citracado Pkwy, Suite 200, Escondido, CA 92029-4110 2007-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669839254 Tina Lynn Sutherland Behavioral Analyst 1045 East Pennsylvania Ave, Escondido, CA 92029 2016-01-27
1477923373 Aurora D'elia-verrocchi Physician Assistant 2185 Citracado Parkway, Escandido, CA 92029 2015-10-05
1659647436 North County Neurology Associates Medical Group Psychiatry & Neurology 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 2012-03-27
1609188937 Marvin Walter Levenson Case Manager/Care Coordinator 2227 Enterprise St, Escondido, CA 92029 2010-07-01
1003137258 James H Nelson Radiology 3337 Avenida Hacienda, Escondido, CA 92029 2010-06-22
1265568620 Junia P Wadia Dentist 1340 W Valley Pkwy, #205, Escondido, CA 92029 2007-02-27
1225186232 Paul Brian Volpp Radiology 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 2007-01-08
1679620231 Alan David Will Optometrist 1264-a Auto Pkwy, Escondido, CA 92029 2007-01-05
1891842530 Ngoc Mong Hoang Nguyen Optometrist 1264 Auto Pkwy, Ste A, Escondido, CA 92029 2007-01-04
1073608089 Margaret Mauleon Novicio Dentist 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 2006-10-04
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1578816617 San Diego Diagnostic Radiology Medical Group, Inc. Clinic/Center 255 N Elm St, Suite 204, Escondido, CA 92025-3431 2012-10-25
1689635930 Escondido Imaging Center Clinic/Center 355 E Grand Ave, Suite 3, Escondido, CA 92025-3313 2006-03-28

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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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Competitor

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City ESCONDIDO
Zip Code 92029

Improve Information

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Dataset Information

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.

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