IMAGING CENTERS DIRECT LLC (NPI# 1881762979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881762979 |
| Entity Type | Organization |
| Organization Name | IMAGING CENTERS DIRECT LLC |
| Other Organization Name | DEDICATED MEDICAL IMAGING CENTER |
| Practice Address |
1125 E 17th Street Ste W125 Santa Ana CA 92701 |
| Practice Telephone | 7145473200 |
| Practice Fax Number | 7145477249 |
| Mailing Telephone | 7145473200 |
| Mailing Fax Number | 7145477249 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-10-14 |
| Authorized Official Name | MRS. BRENDA BRENES (PART OWNER) |
| Authorized Official Telephone | 7145473200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G475810 | 05 | |
| CA | GR0059280 | 05 |
| Other Name | Type Code |
|---|---|
| Dedicated Medical Imaging Center | Doing Business As Name - Organization |
| Street Address |
1125 E 17TH STREET STE W125 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679556633 | Matthew Mortensen Goodman | Dermatology | 1125 E 17th Street, Ste W-248, Santa Ana, CA 92701 | 2005-11-23 |
| 1487017232 | Universa Medica Health Inc | Family Medicine | 1125 E 17th Street, Suite 106, Santa Ana, CA 92701-2201 | 2016-03-30 |
| 1346408226 | Jennifer Soung | Dermatology | 1125 E 17th Street, Suite W248, Santa Ana, CA 92701-2205 | 2008-05-28 |
| 1932200888 | Colwell Clinical Laboratories Inc | Clinical Medical Laboratory | 1125 E 17th Street, Suite N156, Santa Ana, CA 92701 | 2006-09-25 |
| 1497864573 | Ghadir M Kinawy | General Practice | 1125 E 17th Street, Suite W112, Santa Ana, CA 92701-2213 | 2006-08-30 |
| 1649259912 | Pauline Knight Saedler | Physician Assistant | 1125 E 17th Street, W 248, Santa Ana, CA 92701 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| 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 |
|---|---|---|---|---|
| 1548802994 | United Medical Radiology Network, Inc. | Radiology | 3501 S Harbor Blvd Ste M, Santa Ana, CA 92704-6919 | 2019-10-16 |
| 1336664424 | Coastal Radiology | Radiology | 2 Macarthur Pl Ste 300, Santa Ana, CA 92707-5924 | 2017-08-09 |
| 1972893923 | Jessica Langer | Radiology | 1100-a N. Tustin Ave., Santa Ana, CA 92705 | 2011-04-11 |
| 1548481146 | Larry Bilodeau | Radiology | 13752 Yellowstone Dr, Santa Ana, CA 92705-2681 | 2007-05-01 |
| 1518084763 | Joy Mason Johnson | Radiology | 1603 N Broadway, Santa Ana, CA 92706-3908 | 2007-03-23 |
| 1922133149 | Electronic Orthopedic Imaging Medical Associates, Inc | Radiology | 2112 E 4th St, Suite 220, Santa Ana, CA 92705-3816 | 2007-02-21 |
| 1912092859 | Jeffrey Tan | Radiology | 2917 Daimler St # Us, Santa Ana, CA 92705-5810 | 2006-10-04 |
| 1558308106 | Tam Thi Ngo | Radiology | 2509 West First St, Santa Ana, CA 92703 | 2006-06-01 |
| 1740287887 | Khurshed J Dastur | Radiology | 1100 N Tustin Ave, Unit A, Santa Ana, CA 92705-3509 | 2005-07-05 |
| 1124559570 | Open System Mri LLC | Radiology | 1401 N Tustin Ave, Ste. 170, Santa Ana, CA 92705-8644 | 2017-03-27 |
| Find all providers in SANTA ANA | ||||
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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.