Organization Active NPI

Radiology Vision LLC

  • Mobile Radiology Clinic/Center
  • Stockton, CA
National Provider Identifier
1124471214
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
RADIOLOGY VISION LLC
Practice address
3144 Sweet Lilac Way
Stockton, CA 95209
Phone
(619) 646-0416
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Mr. Ashim Haydar AliNPI 1427401512
Title
Ceo/President
Phone
(619) 646-0416

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
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

3144 Sweet Lilac Way
Stockton, CA 95209

Mailing address

6333 Pacific Ave # 544
Stockton, CA 95207-3713
Phone (619) 646-0416

National Provider Directory

National Provider Directory

Locations

8900 Thornton Rd
Ste 24
Stockton, CA 95209

4578 Feather River Dr
Ste B
Stockton, CA 95219
Phone (619) 646-0416

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": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1124471214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 PACIFIC AVE # 544",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073713",
            "telephone_number": "619-646-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 SWEET LILAC WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95209",
            "telephone_number": "619-646-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2024-01-04",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ASHIM",
        "authorized_official_middle_name": "HAYDAR",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "619-646-0416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.