Sapphire Medical

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A107410 Issued in CA

Legal business name

SAPPHIRE MEDICAL

Practice address

11650 Riverside Dr
Ste 6
North Hollywood, CA 91602-1093

Phone

(323) 708-4499

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Hector Lugo-Colon, MD

Title

Owner

Phone

(323) 708-4499

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1023248481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 RIVERSIDE DR",
            "address_2": "STE 6",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021093",
            "telephone_number": "323-708-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 RIVERSIDE DR",
            "address_2": "STE 6",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021093",
            "telephone_number": "323-708-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "LUGO-COLON",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-708-4499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A107410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A107410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.