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SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC
NPI 1205867017
Radiology - Diagnostic Radiology in San Diego, CA

Active since July 06, 2006
3020 CHILDRENS WAY, CHILDREN'S HOSPITAL AND HEALTH CENTER, SAN DIEGO, CA 92123(858) 966-7769(858) 966-8568 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About San Diego Diagnostic Radiology Medical Group Inc NPPES

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

SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC (NPI 1205867017) is a healthcare organization registered as a diagnostic radiology in San Diego, California and active in the NPI registry since July 2006. The organization lists Norman C. Chen, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1205867017
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC
Location Address3020 CHILDRENS WAY, CHILDREN'S HOSPITAL AND HEALTH CENTERSan Diego, CA 92123-4223
Mailing AddressPo Box 23540San Diego, CA 92193-3540 · (858) 565-0950 · Fax (858) 244-1100
Phone(858) 966-7769
Fax(858) 966-8568
Organization SubpartNo
Authorized OfficialNorman C. ChenPresident Ceo · (858) 565-0950
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 23, 2017
✔ NPI 1205867017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedNuclear MedicineTaxonomy 207U00000X · License B1982005164 (CA)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License B1982005164 (CA)
Also ListedNuclear Medicine · Nuclear Imaging & TherapyTaxonomy 207UN0902X · License B1982005164 (CA)
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License B1982005164 (CA)
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License B1982005164 (CA)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License B1982005164 (CA)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License B1982005164 (CA)
3020 CHILDRENS WAY, San Diego, CA 92123
Open in Google Maps ↗

Other Identifiers 2

MedicaidGR0083810CA
Medicare PINHW529CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Diego Diagnostic Radiology Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

71

Medicare enrollment records show 71 clinicians reassign Medicare billing to San Diego Diagnostic Radiology Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 45 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Diagnostic Radiology62
Cardiovascular Disease (Cardiology)3
Nuclear Medicine2
General Practice1
Interventional Radiology1
Nurse Practitioner1
Pediatric Medicine1

Nearest to this location (20)

See all 71
Sanjeet Hegde, M .D.
Cardiovascular Disease (Cardiology)
NPI 1306036884
3020 CHILDRENS WAY
San Diego, CA 92123
(858) 966-5855
✔ PECOS✔ Accepts MedicareSame address
Hari Narayan, M.D.
Pediatric Medicine
NPI 1376705707
3020 CHILDRENS WAY
San Diego, CA 92123
(858) 966-5855
✔ PECOSSame address
Jerry Dwek, MD
Diagnostic Radiology
NPI 1558335695
3020 CHILDRENS WAY
San Diego, CA 92123
(858) 576-1700
✔ PECOS✔ Accepts Medicare0.1 mi
Raul Galvez-Trevino, M.D., M.P.H.
Diagnostic Radiology
NPI 1033281878
3020 CHILDRENS WAY
San Diego, CA 92123
(858) 576-1700
✔ PECOS✔ Accepts Medicare0.1 mi
Paritosh Khanna, MD
Diagnostic Radiology
NPI 1568572832
3020 CHILDRENS WAY
San Diego, CA 92123
(858) 576-1700
✔ PECOS✔ Accepts Medicare0.1 mi
Peter Kruk, M.D.
Diagnostic Radiology
NPI 1366480634
3020 CHILDRENS WAY
San Diego, CA 92123
(858) 576-1700
✔ PECOS✔ Accepts Medicare0.1 mi
Brian Pugmire, M.D.
Diagnostic Radiology
NPI 1609190578
3020 CHILDRENS WAY
San Diego, CA 92123
(858) 576-1700
✔ PECOS✔ Accepts Medicare0.1 mi
Daniel Vinocur, M.D.
Diagnostic Radiology
NPI 1770711830
3020 CHILDRENS WAY
San Diego, CA 92123
(858) 576-1700
✔ PECOS✔ Accepts Medicare0.1 mi
Matthew Zapala, M.D., PH.D.
Diagnostic Radiology
NPI 1346482809
3020 CHILDRENS WAY
San Diego, CA 92123
(858) 576-1700
✔ PECOS✔ Accepts Medicare0.1 mi
Eleanor Lehnert Schuchardt, MD
Cardiovascular Disease (Cardiology)
NPI 1760707210
3020 CHILDRENS WAY
San Diego, CA 92123
(858) 966-5855
✔ PECOS✔ Accepts Medicare0.1 mi
Marc Berns, MD
Diagnostic Radiology
NPI 1124655816
7901 FROST ST
San Diego, CA 92123
(858) 939-3600
✔ PECOS✔ Accepts Medicare0.2 mi
Jenny Yan
Diagnostic Radiology
NPI 1356886154
7901 FROST ST
San Diego, CA 92123
(858) 939-3600
✔ PECOS✔ Accepts Medicare0.2 mi
Aaron Smith, MD
Diagnostic Radiology
NPI 1013342567
7910 FROST ST
San Diego, CA 92123
(858) 939-3600
✔ PECOS✔ Accepts Medicare0.2 mi
Christine Sundby, NP
Nurse Practitioner
NPI 1427875848
7910 FROST ST STE 100
San Diego, CA 92123
(858) 634-5900
✔ PECOS✔ Accepts Medicare0.2 mi
Beth Printz
Cardiovascular Disease (Cardiology)
NPI 1790756518
8001 FROST ST ENTRANCE 9
San Diego, CA 92123
(858) 966-5855
✔ PECOS0.3 mi
Khaled Al Tawil
Diagnostic Radiology
NPI 1407319684
8745 AERO DR STE 200
San Diego, CA 92123
(858) 565-0950
✔ PECOS✔ Accepts Medicare1.0 mi
Gregg Alzate, MD
Diagnostic Radiology
NPI 1932173085
8745 AERO DRIVE STE 200
San Diego, CA 92123
(858) 565-0950
✔ PECOS✔ Accepts Medicare1.0 mi
Scott Boles, MD
Diagnostic Radiology
NPI 1356317747
8745 AERO DRIVE SUITE 200
San Diego, CA 92123
(858) 565-0950
✔ PECOS✔ Accepts Medicare1.0 mi
Bruce Bower, MD
Diagnostic Radiology
NPI 1316911084
8745 AERO DR STE 200
San Diego, CA 92123
(858) 565-0950
✔ PECOS✔ Accepts Medicare1.0 mi
Jonas Redmond, MD
Interventional Radiology
NPI 1164682589
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare3.1 mi
See all 71 clinicians

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

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 San Diego Diagnostic Radiology Medical Group Inc's NPI number?

The NPI number for San Diego Diagnostic Radiology Medical Group Inc is 1205867017. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is San Diego Diagnostic Radiology Medical Group Inc located?

San Diego Diagnostic Radiology Medical Group Inc is located at 3020 Childrens Way Children's Hospital And Health Center, San Diego, CA 92123. The listed phone number is (858) 966-7769.

What is San Diego Diagnostic Radiology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is San Diego Diagnostic Radiology Medical Group Inc enrolled in Medicare?

Yes. San Diego Diagnostic Radiology Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Diego Diagnostic Radiology Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 7 Medicare specialties reassign their Medicare billing to San Diego Diagnostic Radiology Medical Group Inc. 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 Diagnostic Radiology (62), Cardiovascular Disease (Cardiology) (3) and Nuclear Medicine (2). Of these, 2 practice at this address and 45 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Diego Diagnostic Radiology Medical Group Inc was last updated on March 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.