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IMAGE ONE A MEDICAL CORP
NPI 1093585036
Clinic/Center - Radiology, Mammography in San Diego, CA

Active since January 02, 2024CLIA 05D2319484 · Certificate of Compliance
8707 COMPLEX DRIVE, SAN DIEGO, CA 92123(619) 616-2100(619) 616-2104 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2025, Jan 2, 2024 (2 updates tracked since 2024).

About Image One A Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMAGE ONE A MEDICAL CORP (NPI 1093585036) is a healthcare organization registered as a radiology, mammography in San Diego, California and active in the NPI registry since January 2024. The organization holds a CLIA Certificate of Compliance certificate valid through February 27, 2027 and lists Mehran Moussavian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093585036
Entity TypeOrganization
Primary Taxonomy261QR0206X
Legal Business NameIMAGE ONE A MEDICAL CORP
Location Address8707 COMPLEX DRIVESan Diego, CA 92123
Mailing Address8787 Complex Dr Ste 202San Diego, CA 92123-1451 · (760) 798-8855 · Fax (760) 755-5245
Phone(619) 616-2100
Fax(619) 616-2104
Organization SubpartNo
Authorized OfficialMehran MoussavianCeo · (619) 616-2100
Enumeration DateJanuary 2, 2024
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1093585036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MammographyAmbulatory Health Care Facilities
Taxonomy Code261QR0206X
8707 COMPLEX DRIVE, San Diego, CA 92123
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Image One A Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Image One A Medical Corp, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Christine Chen, MD
Interventional Radiology
NPI 1710243696
150 W WASHINGTON ST
San Diego, CA 92103
(214) 645-8995
✔ PECOS✔ Accepts Medicare5.7 mi
Nikhil Jain, MD
Cardiovascular Disease (Cardiology)
NPI 1376049114
4725 MARKET ST
San Diego, CA 92102
(619) 515-2560
✔ PECOS✔ Accepts Medicare8.6 mi
Meena Narayanan, MD
Cardiovascular Disease (Cardiology)
NPI 1508170697
765 MEDICAL CENTER CT STE 211
Chula Vista, CA 91911
(619) 616-2100
✔ PECOS✔ Accepts Medicare16 mi
Kaiwen Sun, MD
Hospitalist
NPI 1255891479
765 MEDICAL CENTER CT STE 211
Chula Vista, CA 91911
(619) 616-2100
✔ PECOS✔ Accepts Medicare16 mi
Mehran Moussavian, DO
Cardiovascular Disease (Cardiology)
NPI 1689788234
765 MEDICAL CENTER CT STE 211
Chula Vista, CA 91911
(619) 616-2100
✔ PECOS✔ Accepts Medicare16 mi
Milind Parikh, D.O.
Cardiovascular Disease (Cardiology)
NPI 1194161406
765 MEDICAL CENTER CT STE 211
Chula Vista, CA 91911
(619) 616-2100
✔ PECOS✔ Accepts Medicare16 mi
Matthew Budoff, M.D.
Internal Medicine
NPI 1811967433
21840 NORMANDIE AVE STE. 700
Torrance, CA 90502
(310) 222-5101
✔ PECOS✔ Accepts Medicare96 mi
Tchaiko Parris, MD
Diagnostic Radiology
NPI 1467630954
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3643
✔ PECOS✔ Accepts Medicare1,756 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2319484

Image One · San Diego, CA
Active · expires Feb 27, 2027
CLIA Number05D2319484
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorMeena Narayanan
Laboratory Phone(619) 616-2100
Laboratory LocationImage One8707 Complex Dr, San Diego, CA 92123
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Image One A Medical Corp's NPI number?

The NPI number for Image One A Medical Corp is 1093585036. It was assigned to this organization in the NPPES registry on January 2, 2024.

Where is Image One A Medical Corp located?

Image One A Medical Corp is located at 8707 Complex Drive, San Diego, CA 92123. The listed phone number is (619) 616-2100.

What is Image One A Medical Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mammography, with taxonomy code 261QR0206X.

Is Image One A Medical Corp enrolled in Medicare?

Yes. Image One A Medical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Image One A Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Image One A Medical Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (4), Diagnostic Radiology (1) and Hospitalist (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Image One A Medical Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2319484) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Image One A Medical Corp was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.