SAN DIEGO IMAGING - CHULA VISTA, LLC (NPI# 1801965058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801965058 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO IMAGING - CHULA VISTA, LLC |
| Practice Address |
765 Medical Center Ct Chula Vista CA 91911-6600 |
| Mailing Address |
Po Box 939054 San Diego CA 92193-9054 |
| Practice Telephone | 8585650950 |
| Practice Fax Number | 8582441100 |
| Mailing Telephone | 8585650950 |
| Mailing Fax Number | 8582441100 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-10-27 |
| Authorized Official Name | RICK W. PADELFORD (BOARD OF DIRECTORS) |
| Authorized Official Telephone | 8585650950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
044140-06 | CA | Ambulatory Health Care Facilities |
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
044140-06 | CA | Ambulatory Health Care Facilities |
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
044140-06 | CA | Ambulatory Health Care Facilities |
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
044140-06 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0083811 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588695217 | San Diego Imaging - Chula Vista, LLC | Clinic/Center | 860 Kuhn Dr Ste 100, San Diego Imaging - Eastlake, Chula Vista, CA 91914-4517 | 2006-07-05 |
| Street Address |
765 MEDICAL CENTER CT |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921697 | Francisco Ernesto Anguiano | Specialist | 765 Medical Center Ct, Suite 209, Chula Vista, CA 91911-6600 | 2005-08-31 |
| 1700202207 | Puja Chitkara M.d. A Medical Corporation | Internal Medicine | 765 Medical Center Ct, Suite 216, Chula Vista, CA 91911-6600 | 2014-03-10 |
| 1407118136 | Amanda Nicole Weston | Physician Assistant | 765 Medical Center Ct, Suite 216, Chula Vista, CA 91911-6600 | 2012-06-08 |
| 1326351602 | San Diego Imaging - Chula Vista LLC | Clinic/Center | 765 Medical Center Ct, Chula Vista, CA 91911-6600 | 2010-07-15 |
| 1184813610 | H. Mehrdad Sadeghi M.d., Inc. | Internal Medicine | 765 Medical Center Ct, #211, Chula Vista, CA 91911-6600 | 2007-10-22 |
| 1992917512 | Eugene J Basiliere Md Inc | Obstetrics & Gynecology | 765 Medical Center Ct, #209, Chula Vista, CA 91911-6600 | 2007-05-04 |
| 1871718189 | Puja Chitkara | Specialist | 765 Medical Center Ct, Suite 216, Chula Vista, CA 91911-6600 | 2007-04-13 |
| 1730201377 | Gynecology Care Center | Obstetrics & Gynecology | 765 Medical Center Ct, Suite 209, Chula Vista, CA 91911-6600 | 2007-04-04 |
| 1780730804 | Sandra P. Buffington-sucec | Nurse Practitioner | 765 Medical Center Ct, Suite 209, Chula Vista, CA 91911-6600 | 2007-01-25 |
| 1306993175 | South Bay Cardiology | Internal Medicine | 765 Medical Center Ct, Suite 211, Chula Vista, CA 91911-6600 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619160439 | Chula Vista Imaging | Clinic/Center | 374 H St Ste 103, Chula Vista, CA 91910-5547 | 2007-08-24 |
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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 | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on SAN DIEGO IMAGING - CHULA VISTA, LLC.
| 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.