Organization Active NPI

Thomas Palan & Henry Palan PTR

  • Mobile Radiology Clinic/Center
  • Yorba Linda, CA
National Provider Identifier
1083884324
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
TG112 Issued in CA
Legal business name
THOMAS PALAN & HENRY PALAN PTR
Practice address
3790 Forest Ave
Yorba Linda, CA 92886-6918
Phone
(714) 846-7988
Fax
(951) 272-9924
NPI assigned
Mar 3, 2008
Last updated
Jul 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Jodi ChartierNPI 1669564639
Title
Manager
Phone
(951) 278-5590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X TG112 CA Primary

Addresses

Primary practice location

3790 Forest Ave
Yorba Linda, CA 92886-6918

Mailing address

PO Box 77790
Corona, CA 92877-0126
Phone (951) 278-5590

Other names 1

  • PALAN DIAGNOSTICS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1083884324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77790",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770126",
            "telephone_number": "951-278-5590",
            "fax_number": "951-272-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 FOREST AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866918",
            "telephone_number": "714-846-7988",
            "fax_number": "951-272-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS PALAN & HENRY PALAN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "CHARTIER",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-278-5590"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": "TG112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALAN DIAGNOSTICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.