ORANGE COAST RADIOLOGY MEDICAL GROUP INC
NPI 1790882231
Specialist in Ridgecrest, CA

Active since September 19, 2006
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555(760) 446-0642 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About ORANGE COAST RADIOLOGY MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Orange Coast Radiology Medical Group Inc, a provider established in Ridgecrest, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1790882231 assigned on September 2006. The practitioner's primary taxonomy code is 174400000X with license number A31455 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michael Shangian Md (President)

NPI
1790882231 Verify this NPI
Provider Name
ORANGE COAST RADIOLOGY MEDICAL GROUP INC
Entity Type
Organization
Location Address
1081 N CHINA LAKE BLVD RIDGECREST, CA 93555
Location Phone
(760) 446-0642
Mailing Address
PO BOX 73878 SAN CLEMENTE, CA 92673
Mailing Phone
(949) 206-6800
Mailing Fax
(949) 206-0900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2006
Last Update Date
10-29-2014
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
A31455
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL SHANGIAN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 754-5804

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
ZZZ74217ZMEDICARE ID-TYPE UNSPECIFIED (04)CA 
A26490MEDICARE UPIN (02)CA 
ZZZ74221ZMEDICAID (05)CA 
00A314550MEDICAID (05)CA 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse (Maternal Newborn)
1081 N CHINA LAKE BLVD, RIDGECREST REGIONAL HOSPITAL
RIDGECREST, CA 93555
Nurse Anesthetist, Certified Registered
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Dietitian, Registered
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Physical Therapist
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Specialist
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Nurse Anesthetist, Certified Registered
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Physician Assistant
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Nurse Anesthetist, Certified Registered
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Specialist
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Emergency Medicine
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Nurse Practitioner
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Emergency Medicine
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Nurse Anesthetist, Certified Registered
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Emergency Medicine
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Emergency Medicine
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Registered Nurse (Registered Nurse First Assistant)
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Chiropractor
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Internal Medicine (Cardiovascular Disease)
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Nurse Practitioner (Primary Care)
1081 N CHINA LAKE BLVD
RIDGECREST, CA 93555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790882231, enumerated as an "organization" on September 19, 2006.

The provider is located at 1081 N CHINA LAKE BLVD RIDGECREST, CA 93555 and the phone number is (760) 446-0642.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.