SAN DIEGO IMAGING MEDICAL GROUP, INC. - NPI 1629156583

Q: 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.

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About San Diego Imaging Medical Group, Inc. NPPES

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

SAN DIEGO IMAGING MEDICAL GROUP, INC. (NPI 1629156583) is a healthcare organization registered as a diagnostic radiology in San Diego, California and active in the NPI registry since November 2006. The organization lists Norman C. Chen, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1629156583

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameSAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.

Location Address8745 AERO DR, SUITE 200San Diego, CA 92123-1761

Mailing Address8745 Aero Dr, Suite 200San Diego, CA 92123-1761 · (858) 565-0950 · Fax (858) 244-1100

Phone(858) 565-0950

Fax(858) 244-1100

Organization SubpartNo

Authorized OfficialNorman C. ChenPresident Ceo · (858) 565-0950

Enumeration DateNovember 1, 2006

Last NPPES UpdateMarch 22, 2017

✔ NPI 1629156583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · B1982005164

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 · License B1982005164 (CA)

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License B1982005164 (CA)

Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License B1982005164 (CA)

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License B1982005164 (CA)

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License B1982005164 (CA)

Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License B1982005164 (CA)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License B1982005164 (CA)

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License B1982005164 (CA)

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License B1982005164 (CA)

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License B1982005164 (CA)

8745 AERO DR, San Diego, CA 92123

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Other Names 1

Doing Business AsSan Diego Imaging Medical Group, Inc.

Other Identifiers 5

Medicare PINHW529CA

Medicare PINHW529BCA

Medicare PINW529ACA

Medicare PINHW529ACA

Medicare PINW529CA

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA HERNANDEZ TRAINEE

Marriage & Family Therapist

8745 AERO DR
SAN DIEGO, CA 92123

San Diego County (619) 578-2211

MICHAEL L PUCKETT MD

Radiology (Diagnostic Radiology)

8745 AERO DR, SUITE 200
SAN DIEGO, CA 92123

San Diego County (858) 565-0950

MS. NICOLE MARIE SIAO PA

Physician Assistant (Medical)

8745 AERO DR, SUITE 200
SAN DIEGO, CA 92123

San Diego County (858) 565-0950

LEE A HARVEY MD

Radiology (Diagnostic Radiology)

8745 AERO DR, STE 200
SAN DIEGO, CA 92123

San Diego County (858) 565-0950

VICTOR L WOO MD

Radiology (Diagnostic Radiology)

8745 AERO DR, STE 200
SAN DIEGO, CA 92123

San Diego County (858) 565-0950

BRUCE L BOWER MD

Radiology (Diagnostic Radiology)

8745 AERO DR, STE 200
SAN DIEGO, CA 92123

San Diego County (858) 565-0950

PETER G KRUK M.D.

Radiology (Diagnostic Radiology)

8745 AERO DR, SUITE 200
SAN DIEGO, CA 92123

San Diego County (858) 565-0950

ERICA FRANCES SERRANO

Case Manager/Care Coordinator

8745 AERO DR, SUITE 107
SAN DIEGO, CA 92123

San Diego County (858) 384-7035

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 1629156583. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as San Diego Imaging Medical Group, Inc..

Where is San Diego Diagnostic Radiology Medical Group, Inc. located?

San Diego Diagnostic Radiology Medical Group, Inc. is located at 8745 Aero Dr Suite 200, San Diego, CA 92123. The listed phone number is (858) 565-0950.

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.

When was this NPI record last updated?

The NPPES record for San Diego Diagnostic Radiology Medical Group, Inc. was last updated on March 22, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.