West Coast Diagnostics & MRI

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

WEST COAST DIAGNOSTICS & MRI

Practice address

600 N Tustin Ave Ste 110
Santa Ana, CA 92705-3736

Phone

(714) 480-8666

NPI assigned

Jun 8, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Olivas

Title

Contracts Coordinator

Phone

(714) 480-8666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114120854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27758 SANTA MARGARITA PKWY # 240",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N TUSTIN AVE STE 110",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053736",
            "telephone_number": "714-480-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST DIAGNOSTICS & MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OLIVAS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CONTRACTS COORDINATOR",
        "authorized_official_telephone_number": "714-480-8666"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somchai Werasophon, M.D.
• Trungta Kae Werner, BEHAVIOR ANALYST
• Brooke Vivien Wesner
• West Coast Brain and Spine Institute Inc
• West Coast Breast Center-Santa Ana
• West Coast Orthopedics
• West Coast Radiology Center South Coast
• West Coast Radiology Center, Inc
• West Coast Wound Care, Inc.
• West Eyecare Optometry PC

• Preferred Provider Organization in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.