ONLINE RADIOLOGY MEDICAL GROUP, INC.
NPI 1952707952
Radiology - Diagnostic Radiology in Corona Del Mar, CA

Active since November 18, 2014
512 AVOCADO AVE, CORONA DEL MAR, CA 92625(949) 673-2533 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Radiology
  • Diagnostic Radiology

About ONLINE RADIOLOGY MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Online Radiology Medical Group, Inc., a provider established in Corona Del Mar, California operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1952707952 assigned on November 2014. The practitioner's primary taxonomy code is 2085R0202X with license number G48368 (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 Samuel Salen (M.d., Cfo)

NPI
1952707952 Verify this NPI
Provider Name
ONLINE RADIOLOGY MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
512 AVOCADO AVE CORONA DEL MAR, CA 92625
Location Phone
(949) 673-2533
Mailing Address
75 REMITTANCE DR DEPT. 6620 CHICAGO, IL 60675
Mailing Phone
(888) 412-3639
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2014
Last Update Date
11-18-2014
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
G48368
License State
CA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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

SAMUEL SALEN

Authorized Official Title
M.D., CFO
Authorized Official Phone
(951) 786-0801

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
EH154OMEDICARE PIN (08)CA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952707952, enumerated as an "organization" on November 18, 2014.

The provider is located at 512 AVOCADO AVE CORONA DEL MAR, CA 92625 and the phone number is (949) 673-2533.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

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