ONLINE RADIOLOGY MEDICAL GROUP, INC. (NPI# 1952707952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952707952 |
| Entity Type | Organization |
| Organization Name | ONLINE RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
512 Avocado Ave Corona Del Mar CA 92625-1918 |
| Mailing Address |
75 Remittance Dr Dept. 6620 Chicago IL 60675-6620 |
| Practice Telephone | 9496732533 |
| Mailing Telephone | 8884123639 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | SAMUEL SALEN (M.D., CFO) |
| Authorized Official Telephone | 9517860801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G48368 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942607916 | Online Radiology Medical Group, Inc. | Radiology | 115 Coral Rose, Irvine, CA 92603-0177 | 2014-11-19 |
| 1699171678 | Online Radiology Medical Group, Inc. | Radiology | 26 Roseville, Irvine, CA 92602-2030 | 2014-11-18 |
| 1346646353 | Online Radiology Medical Group, Inc. | Radiology | 135 S Haskell Dr, El Centro, CA 92243-5547 | 2014-11-18 |
| 1235535220 | Online Radiology Medical Group, Inc. | Radiology | 315 Calle Pescador, San Clemente, CA 92672-2206 | 2014-11-18 |
| 1538566104 | Online Radiology Medical Group, Inc. | Radiology | 1770 Iowa Ave, 280, Riverside, CA 92507-2430 | 2014-11-26 |
| 1750787719 | Online Radiology Medical Group, Inc. | Radiology | 12700 Centerville Rd, Chico, CA 95928-8328 | 2014-11-18 |
| 1134525181 | Online Radiology Medical Group, Inc. | Radiology | 338 Lowell Ave, Mill Valley, CA 94941-3845 | 2014-11-18 |
| 1538565593 | Online Radiology Medical Group, Inc. | Radiology | 30000 Santiago Rd, Temecula, CA 92592-5115 | 2014-11-18 |
| Street Address |
512 AVOCADO AVE |
| City | CORONA DEL MAR |
| State | CA |
| Zip Code | 92625-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192041 | Lisa Menaker Quinn | Marriage & Family Therapist | 2345 E. Coast Highway, Suite D, Corona Del Mar, CA 92625 | 2018-08-01 |
| 1205210945 | Kelly Mccann | Marriage & Family Therapist | 2721 East Pacific Coast Highway, Suite 209, Corona Del Mar, CA 92625 | 2015-07-13 |
| 1831501113 | Bert Shepley | Marriage & Family Therapist | 1111 Bayside Drive, Suite 212, Corona Del Mar, CA 92625 | 2014-05-21 |
| 1295157741 | Jamie Young | Marriage & Family Therapist | 505 Larkpur Ave, Corona Del Mar, CA 92625 | 2014-01-16 |
| 1225321185 | Miramar Health Inc | Substance Abuse Rehabilitation Facility | 435 Dahlia Avenue, Newport Beach, CA 92625 | 2011-05-25 |
| 1972745362 | Andrew W Spath | Dentist | 2121 E Coast Hwy Ste 290, Corona Del Mar, CA 92625 | 2009-03-31 |
| 1790934743 | James Hair | Dentist | 3800 E. Pacific Coast Hwy., #2, Corona Del Mar, CA 92625 | 2008-09-15 |
| 1912173006 | Kevin J Taylor Dds Inc | Dentist | 2716 East Coast Hwy, Corona Del Mar, CA 92625 | 2008-05-08 |
| 1306048939 | Stephen Douglas Hutchins | Chiropractor | 2101 E Coast Hwy, Corona Del Mar, CA 92625 | 2007-06-05 |
| 1619094893 | Burr Vonmaur | Plastic Surgery | 1101 Bayside Drive, Suite 100, Corona Del Mar, CA 92625 | 2007-03-23 |
| Find all providers in zip 92625 | ||||
| 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 |
|---|---|---|---|---|
| 1417353426 | Onlne Radiology Medical Group, Inc. | Radiology | 315 Goldenrod Ave, Corona Del Mar, CA 92625-2905 | 2014-11-18 |
| 1275766230 | Riverside Radiology Medical Group, Inc. | Radiology | 721 Iris Ave, Corona Del Mar, CA 92625-2228 | 2009-08-25 |
| 1548253800 | Lisa Robin Kantrowitz | Radiology | 3 Montecito Dr, Corona Del Mar, CA 92625-1017 | 2005-08-23 |
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| 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 | CORONA DEL MAR |
| Zip Code | 92625 |
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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.