Organization Active NPI

Ramona Medical Diagnostic Services

  • Radiology Clinic/Center
  • Ramona, CA
National Provider Identifier
1043372139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
RAMONA MEDICAL DIAGNOSTIC SERVICES
Practice address
1516 Main St
Suite 103
Ramona, CA 92065-5242
Phone
(760) 789-6118
Fax
(760) 788-2068
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Fraley
Title
Manager
Phone
(760) 789-6118

Specialties & licenses 1

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

Addresses

Primary practice location

1516 Main St
Suite 103
Ramona, CA 92065-5242

Mailing address

1516 Main St
Suite 103
Ramona, CA 92065-5242
Phone (760) 789-6118

National Provider Directory

National Provider Directory

Locations

1516 Main St
Ste 103
Ramona, CA 92065
Phone (760) 789-6118

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043372139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 MAIN ST",
            "address_2": "SUITE 103",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655242",
            "telephone_number": "760-789-6118",
            "fax_number": "760-788-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 MAIN ST",
            "address_2": "SUITE 103",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655242",
            "telephone_number": "760-789-6118",
            "fax_number": "760-788-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMONA MEDICAL DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-789-6118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.