Organization Active NPI

Valley Imaging

  • Diagnostic Neuroimaging (Radiology) Physician
  • Apple Valley, CA
National Provider Identifier
1073738266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
License
A36488 Issued in CA
Legal business name
VALLEY IMAGING
Practice address
18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2338
Phone
(310) 348-0500
NPI assigned
Apr 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Steve Garrett
Title
Biling Manager
Phone
(310) 348-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X A36488 CA Primary

Addresses

Primary practice location

18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2338

Mailing address

18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2338
Phone (310) 348-0500

Other identifiers 1

IdentifierTypeStateIssuer
00A364880MedicaidCA

National Provider Directory

National Provider Directory

Locations

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

NPI Registry JSON

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

{
    "created_epoch": "1176595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073738266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "SUITE J",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "310-348-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "SUITE J",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "310-348-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "BILING MANAGER",
        "authorized_official_telephone_number": "310-348-0500"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "CA",
            "license": "A36488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A364880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, 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.