Wave Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

WAVE IMAGING, LLC

Doing business as

MemorialCare Imaging Center-Long Beach

Practice address

3828 Schaufele Ave
Ste 250
Long Beach, CA 90808-1793

Phone

(562) 498-6322

Fax

(562) 986-4010

NPI assigned

Aug 15, 2013

Last updated

Oct 28, 2016By 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

Mark D Schafer, MD

Title

Manager

Phone

(657) 241-3500

Specialties & licenses 1

Addresses

Other names 1

• MemorialCare Imaging Center-Long Beach Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350

  Member Of

  NPD member

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1073946943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17360 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 SCHAUFELE AVE",
            "address_2": "STE 250",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081793",
            "telephone_number": "562-498-6322",
            "fax_number": "562-986-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "657-241-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MemorialCare Imaging Center-Long Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Brandon Watson, NP
• Sherman Watson Jr.
• Jessica Lynn Watts
• Kambraia Watts, M.S MFTI
• Toby M Watts
• Teresa Way-Spector
• Francine Way, LMFT
• Lori Way, M.A.
• Wled Wazni, M.D
• Wce Ca Ecc, Inc.

• Radiology Clinic/Center in Long Beach, CA
• Providers in Long Beach, 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 Oct 28, 2016; 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.