Active NPI
Valley Imaging
- Diagnostic Neuroimaging (Radiology) Physician
- Apple Valley, CA
National Provider Identifier
1073738266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Neuroimaging (Radiology) Physician
- License
- A36488
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A364880 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.