Nomad Radiology LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

NOMAD RADIOLOGY LLC

Practice address

8929 University Center LN # 203
San Diego, CA 92122-1006

Phone

(760) 583-8137

NPI assigned

Nov 9, 2020

Last updated

Dec 6, 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

John Michael Gyves

Title

Owner

Phone

(760) 583-8137

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134721830. Details of each certification follow.

• CCN 05X0010063 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 05X0010063

Legal name

NOMAD RADIOLOGY LLC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Nov 3, 2021

Last certification

Nov 3, 2021

Ownership / control type

Other Than Private

Facility address

8929 University Center Lane, Suite #203
San Diego, CA 92122

Locations

Practitioners 1

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.

• Michael Wang

  • Diagnostic Radiology Physician
  • Escondido, CA
  • NPI 1063739175
  NPD

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1134721830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN # 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN # 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221006",
            "telephone_number": "760-583-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMAD RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "GYVES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-583-8137"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Alison Nolen, RN
• Helen Elizabeth Noll, M.D.
• Jody Pedriana Noll, M.S., OTRL
• Margaret Noll, BCBA
• Shannon Kathleen Nolte, LPC
• Vinsun Jordan Nomany, DO
• Bernardo Nonato, PT
• None11 Medtrans
• Alika Nonies-Lewis
• Maribeth Torno Nono

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Diego, CA
• Providers in San Diego, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.