Organization Active NPI

Fallbrook Imaging Center Inc

  • Body Imaging Physician
  • Fallbrook, CA
National Provider Identifier
1083220842
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
FALLBROOK IMAGING CENTER INC
Practice address
616 E Alvarado St Ste D
Fallbrook, CA 92028-2350
Phone
(760) 689-6100
NPI assigned
Sep 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Anke Ciling
Title
President
Phone
(760) 689-6100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X Primary
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

616 E Alvarado St Ste D
Fallbrook, CA 92028-2350

Mailing address

616 E Alvarado St Ste E
Fallbrook, CA 92028-2350
Phone (760) 689-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL fallbrookimaging.com Other

National Provider Directory

National Provider Directory

Locations

616 E Alvarado St
Ste E
Fallbrook, CA 92028

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1083220842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E ALVARADO ST STE E",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282350",
            "telephone_number": "760-689-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E ALVARADO ST STE D",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282350",
            "telephone_number": "760-689-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLBROOK IMAGING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "CILING",
        "authorized_official_first_name": "ANKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-689-6100"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fallbrookimaging.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Fallbrook",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "616 E Alvarado St Ste D",
            "city": "Fallbrook",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920282350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.