Organization Active NPI

West Coast Petct LLC

  • Radiology Clinic/Center
  • Laguna Niguel, CA
National Provider Identifier
1033350228
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
WEST COAST PETCT LLC
Practice address
27882 Forbes Rd
Suite 120
Laguna Niguel, CA 92677-1267
Phone
(866) 533-4296
NPI assigned
Mar 17, 2009
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Nicholas A. Poan
Title
SVP - Corporate Finance
Phone
(949) 242-5321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X CA Primary

Addresses

Primary practice location

27882 Forbes Rd
Suite 120
Laguna Niguel, CA 92677-1267

Mailing address

100 Bayview Cir
Suite 400
Newport Beach, CA 92660-2983
Phone (949) 242-5384

National Provider Directory

National Provider Directory
Tax ID family
West Coast Petct2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1033350228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAYVIEW CIR",
            "address_2": "SUITE 400",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602983",
            "telephone_number": "949-242-5384",
            "fax_number": "480-212-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27882 FORBES RD",
            "address_2": "SUITE 120",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771267",
            "telephone_number": "866-533-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST PETCT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "POAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SVP - CORPORATE FINANCE",
        "authorized_official_telephone_number": "949-242-5321"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.