SANTA ANA TUSTIN RADIOLOGY MEDICAL GROUP (NPI# 1972531036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972531036 |
| Entity Type | Organization |
| Organization Name | SANTA ANA TUSTIN RADIOLOGY MEDICAL GROUP |
| Practice Address |
1450 N Tustin Ave Suite 132 Santa Ana CA 92705-8640 |
| Practice Telephone | 7148353709 |
| Practice Fax Number | 7148367034 |
| Mailing Telephone | 7148353709 |
| Mailing Fax Number | 7148367034 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-09-20 |
| Authorized Official Name | MARK GEOFFERY STEIN (PRESIDENT) |
| Authorized Official Telephone | 7148353709 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
FNP 27532 | CA | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
FNP 27532 | CA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
FNP 27532 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
FNP 27532 | CA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
FNP 27532 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
FNP 27532 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0011440 | 05 |
| Street Address |
1450 N TUSTIN AVE SUITE 132 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-8640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720709 | Avery Aquilanti | Behavior Technician | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2020-11-02 |
| 1154922714 | Aaron Novoa | Behavior Technician | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2020-11-02 |
| 1942809686 | Jennessa Consunji | Behavior Technician | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2020-10-23 |
| 1134754195 | Victoria Henley | Behavior Technician | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2020-03-10 |
| 1043845001 | Kasady Liu | Behavior Technician | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2020-03-10 |
| 1649804725 | Samuel Camp | Behavior Technician | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2020-02-27 |
| 1861024523 | Andrea Navarro | Behavior Technician | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2020-02-10 |
| 1770115438 | Lynn Lai | Behavior Technician | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2020-02-10 |
| 1689206344 | Jennifer Quan | Behavior Technician | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2020-02-10 |
| 1336771096 | Meagan Frank | Behavior Technician | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2020-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| 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.