SAN DIEGO IMAGING-CHULA VISTA LLC
NPI 1649207812
Clinic/Center - Radiology in Chula Vista, CA
NPI Status: Active since June 26, 2006
Contact Information
765 MEDICAL CENTER COURT
CHULA VISTA, CA
ZIP 91911
Phone: (619) 397-6577
Fax: (619) 502-8585
- Organization
- Clinic/Center
- Radiology
- CLIA Number: 05D2046300
- CLIA Cert. Type: Other - IMAGING CENTER W PETCT
- CLIA Exp. Date: 08-29-2026
About SAN DIEGO IMAGING-CHULA VISTA LLC
This page provides the complete NPI Profile along with additional information for San Diego Imaging-chula Vista Llc, a provider established in Chula Vista, California operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1649207812 assigned on June 2006. The practitioner's primary taxonomy code is 261QR0200X with license number 04414006 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Rick W Padelford (Director)
- NPI
- 1649207812
- Provider Name
- SAN DIEGO IMAGING-CHULA VISTA LLC
- Entity Type
- Organization
- Location Address
- 765 MEDICAL CENTER COURT CHULA VISTA, CA 91911
- Location Phone
- (619) 397-6577
- Location Fax
- (619) 502-8585
- Mailing Address
- PO BOX 939054 SAN DIEGO, CA 92193
- Mailing Phone
- (858) 565-0950
- Mailing Fax
- (619) 502-8585
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2006
- Last Update Date
- 12-18-2015
- 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
- Taxonomy Code
- 261QR0200X
- Type
- Ambulatory Health Care Facilities
- License No.
- 04414006
- License State
- CA
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 | 261QM1200X | Ambulatory Health Care Facilities | Clinic/Center | 04414006 (CA) |
| 2 | 261QM1200X | Ambulatory Health Care Facilities | Clinic/Center | 05138506 (CA) |
| 3 | 261QR0200X | Ambulatory Health Care Facilities | Clinic/Center | 05158506 (CA) |
| 4 | 261QR0206X | Ambulatory Health Care Facilities | Clinic/Center | 04414006 (CA) |
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.
*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 |
|---|---|---|---|
| CB246718 | MEDICARE PIN (08) | CA | |
| TP110 | MEDICARE PIN (08) | CA | |
| GR0083811 | MEDICAID (05) | CA |
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
- 05D2046300
- Facility Type
- Other - IMAGING CENTER W PETCT
- Certificate Effective Date
- August 30, 2024
- Certificate Expiration Date
- August 29, 2026
- Laboratory Director
- HOWARD R. SCHIFFMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to San Diego Imaging-chula Vista Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 2 | 0 | 7 | 8 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 4 | 0 | 14 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 4 + 0 + 1 + 4 + 8 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1649207812 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649207812, enumerated as an "organization" on June 26, 2006.
The provider is located at 765 MEDICAL CENTER COURT CHULA VISTA, CA 91911 and the phone number is (619) 397-6577.
Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
