IMAGE ONE A MEDICAL CORP
NPI 1093585036
Clinic/Center - Radiology, Mammography in San Diego, CA
NPI Status: Active since January 02, 2024
Contact Information
8707 COMPLEX DRIVE
SAN DIEGO, CA
ZIP 92123
Phone: (619) 616-2100
Fax: (619) 616-2104
- Organization
- Clinic/Center
- Radiology, Mammography
- CLIA Number: 05D2319484
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 02-27-2027
About IMAGE ONE A MEDICAL CORP
This page provides the complete NPI Profile along with additional information for Image One A Medical Corp, a provider established in San Diego, California operating as a Clinic/center, focusing in radiology, mammography . The healthcare provider is registered in the NPI registry with number 1093585036 assigned on January 2024. The practitioner's primary taxonomy code is 261QR0206X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Mehran Moussavian Do (Ceo)
- NPI
- 1093585036
- Provider Name
- IMAGE ONE A MEDICAL CORP
- Entity Type
- Organization
- Location Address
- 8707 COMPLEX DRIVE SAN DIEGO, CA 92123
- Location Phone
- (619) 616-2100
- Location Fax
- (619) 616-2104
- Mailing Address
- 8787 COMPLEX DR STE 202 SAN DIEGO, CA 92123
- Mailing Phone
- (760) 798-8855
- Mailing Fax
- (619) 616-2104
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2024
- Last Update Date
- 06-16-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Radiology, Mammography
- Taxonomy Code
- 261QR0206X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2319484
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- MEENA NARAYANAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Image One A Medical Corp after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093585036, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093585036, enumerated as an "organization" on January 02, 2024.
The provider is located at 8707 COMPLEX DRIVE SAN DIEGO, CA 92123 and the phone number is (619) 616-2100.
Clinic/Center with taxonomy code 261QR0206X and a focus in Radiology, Mammography.
