Active NPI
Diagnostic Imaging Associates PA
- Diagnostic Radiology Physician
- Victoria, TX
National Provider Identifier
1104852664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- DIAGNOSTIC IMAGING ASSOCIATES PA
- Practice address
- 506 E San Antonio Street
Victoria, TX 77901 - Phone
- (361) 575-7441
- NPI assigned
- Jun 24, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Silvestre A Ortiz, MD
- Title
- President
- Phone
- (361) 576-2116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
506 E San Antonio Street
Victoria, TX 77901
Mailing address
1607 N Main Street
Victoria, TX 77901-5213
Phone (361) 576-2116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1607 N Main St
Victoria, TX 77901
Phone (361) 576-2116
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Diagnostic Radiology Physician
- Victoria, TX
- NPI 1073541835
-
- Diagnostic Radiology Physician
- Victoria, TX
- NPI 1477871275
-
- Diagnostic Radiology Physician
- Garland, TX
- NPI 1295926483
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1992745814
-
- Radiologic Technologist
- Victoria, TX
- NPI 1518612779
-
- Radiology Practitioner Assistant
- Victoria, TX
- NPI 1194671727
-
- Radiology Practitioner Assistant
- Victoria, TX
- NPI 1629810668
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1962489104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104852664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 N MAIN STREET",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015213",
"telephone_number": "361-576-2116",
"fax_number": "361-576-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 E SAN ANTONIO STREET",
"city": "VICTORIA",
"state": "TX",
"postal_code": "77901",
"telephone_number": "361-575-7441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC IMAGING ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "SILVESTRE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "361-576-2116",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.