Onbeach Radiology Associates

Primary specialty

Radiological Physics PhysicianTaxonomy code 2085R0205X

Legal business name

ONBEACH RADIOLOGY ASSOCIATES

Practice address

12602 Amargosa Rd Ste F
Victorville, CA 92392-7640

Phone

(760) 261-5000

Fax

(760) 243-1123

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kanise Carraway

Title

Operations Manager

Phone

(559) 240-5697

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1053994848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N TUSTIN AVE STE 158",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053735",
            "telephone_number": "714-834-1040",
            "fax_number": "714-834-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 AMARGOSA RD STE F",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927640",
            "telephone_number": "760-261-5000",
            "fax_number": "760-243-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONBEACH RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "CARRAWAY",
        "authorized_official_first_name": "KANISE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "559-240-5697"
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiological Physics Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Radiological Physics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.