SAN DIEGO REGIONAL P.E.T. CENTER, LLC
NPI 1104879121
Nuclear Medicine in San Diego, CA
NPI Status: Active since May 19, 2006
Contact Information
7625 MESA COLLEGE DR
102
SAN DIEGO, CA
ZIP 92111
Phone: (858) 499-0230
Fax: (858) 499-0231
- Organization
- Nuclear Medicine
About SAN DIEGO REGIONAL P.E.T. CENTER, LLC
This page provides the complete NPI Profile along with additional information for San Diego Regional P.e.t. Center, Llc, a provider established in San Diego, California operating as a Nuclear Medicine. The healthcare provider is registered in the NPI registry with number 1104879121 assigned on May 2006. The practitioner's primary taxonomy code is 207U00000X. The provider is registered as an organization and their NPI record was last updated one year ago. San Diego Regional P.e.t. Center, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Tom Cleary (Manager)
- NPI
- 1104879121
- Provider Name
- SAN DIEGO REGIONAL P.E.T. CENTER, LLC
- Entity Type
- Organization
- Location Address
- 7625 MESA COLLEGE DR 102 SAN DIEGO, CA 92111
- Location Phone
- (858) 499-0230
- Location Fax
- (858) 499-0231
- Mailing Address
- PO BOX 910026 SAN DIEGO, CA 92191
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2006
- Last Update Date
- 09-11-2025
- 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
Nuclear Medicine
- Taxonomy Code
- 207U00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ08027 | OTHER (01) | BLUE SHIELD |
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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 1104879121, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104879121, enumerated as an "organization" on May 19, 2006.
The provider is located at 7625 MESA COLLEGE DR 102 SAN DIEGO, CA 92111 and the phone number is (858) 499-0230.
Nuclear Medicine with taxonomy code 207U00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
