Organization Active NPI

Smi Imaging Center of San Diego, LLC

  • Specialist
  • San Diego, CA
National Provider Identifier
1124342431
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SMI IMAGING CENTER OF SAN DIEGO, LLC
Practice address
3939 Ruffin Rd
Suite 102
San Diego, CA 92123-1815
Phone
(858) 810-0375
Fax
(858) 633-0376
NPI assigned
Mar 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Ian M Purcell, M.D., PHD
Title
President
Phone
(858) 810-0373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X CA Primary

Addresses

Primary practice location

3939 Ruffin Rd
Suite 102
San Diego, CA 92123-1815

Mailing address

3939 Ruffin Rd
Suite 102
San Diego, CA 92123-1815
Phone (858) 810-0375

National Provider Directory

National Provider Directory

Locations

3939 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 200-3300

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124342431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 RUFFIN RD",
            "address_2": "SUITE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231815",
            "telephone_number": "858-810-0375",
            "fax_number": "858-633-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 RUFFIN RD",
            "address_2": "SUITE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231815",
            "telephone_number": "858-810-0375",
            "fax_number": "858-633-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMI IMAGING CENTER OF SAN DIEGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-810-0373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • 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.