Organization Active NPI

Fallbrook Diagnostics

  • Radiology Clinic/Center
  • Fallbrook, CA
National Provider Identifier
1093007502
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
A73716 Issued in CA
Legal business name
FALLBROOK DIAGNOSTICS
Practice address
616 E Alvarado St Ste D
Fallbrook, CA 92028-2350
Phone
(760) 689-6100
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Ms. Perla I Nunez
Title
Manager
Phone
(760) 689-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X A73716 CA Primary

Addresses

Primary practice location

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

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1093007502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E ALVARADO ST STE D",
            "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 DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "PERLA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-689-6100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "A73716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 3, 2011; 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.