West Coast Petct LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

WEST COAST PETCT LLC

Practice address

16300 Sand Canyon Ave
Suite 103
Irvine, CA 92618-3711

Phone

(866) 533-4296

NPI assigned

Mar 17, 2009

Organization subpart

No

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

Addresses

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.

• West Coast Petct LLC

  • Radiology Clinic/Center
  • Laguna Niguel, CA
  • NPI 1033350228
  NPD tax ID

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": "1043451230",
    "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": "16300 SAND CANYON AVE",
            "address_2": "SUITE 103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183711",
            "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": []
}

• Heather Marie Wertz, NP-C
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• Sarah Danielle West Brown, LM, CPM
• West Coast Breast Center-Irvine
• West Coast Petct
• West Cobb Dentist Office, PC
• West Diagnostics L L C
• West Diagnostics L L C
• West East Advanced Care, Inc
• Matthew West

• Radiology Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Radiology Clinic/Center in California

• 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.