NPIMap

Organization Active NPI

Cassidy Medical Group - Radiology

  • Diagnostic Radiology Physician
  • Vista, CA
National Provider Identifier
1083781249
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CASSIDY MEDICAL GROUP - RADIOLOGY
Practice address
145 Thunder Dr
Vista, CA 92083-6010
Phone
(760) 630-5485
Fax
(760) 630-5455
NPI assigned
Nov 30, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CASSIDY MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Judith M Krueger
Title
Executive Director
Phone
(760) 630-5487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

145 Thunder Dr
Vista, CA 92083-6010

Mailing address

145 Thunder Dr
Vista, CA 92083-6010
Phone (760) 630-5485

National Provider Directory

National Provider Directory
Tax ID family
Thunder Medical Group I5 organizations share this tax ID, including this one
Part of
Thunder Medical Group I

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1083781249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 THUNDER DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836010",
            "telephone_number": "760-630-5485",
            "fax_number": "760-630-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 THUNDER DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836010",
            "telephone_number": "760-630-5485",
            "fax_number": "760-630-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSIDY MEDICAL GROUP - RADIOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASSIDY MEDICAL GROUP",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-630-5487"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.