Organization Active NPI

Saddleback Portable X-Ray LLC

  • Radiologic Technologist
  • Santa Ana, CA
National Provider Identifier
1093552689
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
SADDLEBACK PORTABLE X-RAY LLC
Practice address
1651 E 4TH St Ste 212
Santa Ana, CA 92701-5142
Phone
(714) 835-2915
Fax
(714) 543-3114
NPI assigned
Jul 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mr. Tony Castillo, CRTNPI 1821159179
Title
Owner
Phone
(949) 289-2538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X Primary

Addresses

Primary practice location

1651 E 4TH St Ste 212
Santa Ana, CA 92701-5142

Mailing address

1651 E 4TH St Ste 212
Santa Ana, CA 92701-5142
Phone (714) 835-2915

Other names 1

  • Saddleback Portable X-Ray LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821001808 CA Part B Supplier - Portable X-Ray Supplier 4789122714 Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

1651 E 4th St
Ste 138
Santa Ana, CA 92701
Phone (714) 835-2915

1651 E 4th St
Ste 212
Santa Ana, CA 92701
Phone (714) 835-2915

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1093552689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E 4TH ST STE 212",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015142",
            "telephone_number": "714-835-2915",
            "fax_number": "714-543-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E 4TH ST STE 212",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015142",
            "telephone_number": "714-835-2915",
            "fax_number": "714-543-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLEBACK PORTABLE X-RAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-09-02",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-289-2538",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saddleback Portable X-Ray LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.