NPIMap

Organization Active NPI

Women'S Diagnostic Imaging Med. Center, Inc.

  • Mammography Radiologic Technologist
  • Pasadena, CA
National Provider Identifier
1013218825
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Radiologic TechnologistTaxonomy code 2471M2300X
License
A29996 Issued in CA
Legal business name
WOMEN'S DIAGNOSTIC IMAGING MED. CENTER, INC.
Practice address
333 S Fair Oaks Ave
Pasadena, CA 91105-2541
Phone
(626) 405-8070
Fax
(626) 405-8804
NPI assigned
Nov 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Una L Morris, M.D.NPI 1821187410
Title
Cfo
Phone
(626) 405-8070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M2300X A29996 CA Primary

Addresses

Primary practice location

333 S Fair Oaks Ave
Pasadena, CA 91105-2541

Mailing address

333 S Fair Oaks Ave
Pasadena, CA 91105-2541
Phone (626) 405-8070

Other identifiers 1

IdentifierTypeStateIssuer
00A299960MedicaidCA

National Provider Directory

National Provider Directory

Locations

333 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 405-8070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1013218825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052541",
            "telephone_number": "626-405-8070",
            "fax_number": "626-405-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052541",
            "telephone_number": "626-405-8070",
            "fax_number": "626-405-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S DIAGNOSTIC IMAGING MED. CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "UNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-405-8070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2471M2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Mammography",
            "state": "CA",
            "license": "A29996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A299960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.