Active NPI
Jaime H Delgado, M.D.
- Diagnostic Radiology Physician
- Anaheim, CA
National Provider Identifier
1104878727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A24411
- Practice address
- 1025 S Anaheim Blvd
Anaheim, CA 92805-5806 - Phone
- (310) 329-2469
- Fax
- (310) 329-0176
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A24411 | CA | Primary |
Addresses
Primary practice location
1025 S Anaheim Blvd
Anaheim, CA 92805-5806
Mailing address
PO Box 5333
Torrance, CA 90510-5333
Phone (310) 329-2469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A244110 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A24411 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John P Anderson MD Russell M Perry MD and Mark a Sharzer MD a Med CRP | Current | Accepting new patients | |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Past | Accepting new patients |
| Beverly Radiology Medical Group | Diagnostic Radiology | Past | Accepting new patients |
Locations
1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220
17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473
7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Anaheim, CA
- NPI 1467567511
-
- Diagnostic Radiology Physician
- Camarillo, CA
- NPI 1124072707
-
- Diagnostic Radiology Physician
- Anaheim, CA
- NPI 1972826774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1104878727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5333",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905105333",
"telephone_number": "310-329-2469",
"fax_number": "310-329-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928055806",
"telephone_number": "310-329-2469",
"fax_number": "310-329-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO",
"first_name": "JAIME",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A24411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A244110",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.