Icore Radiology Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ICORE RADIOLOGY INC

Practice address

520 Rose LN
Wickenburg, AZ 85390-1447

Phone

(928) 684-5421

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Pejman Preston Hedayati, MDNPI 1336278431

Title

Ceo

Phone

(480) 236-8868

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pejman Preston Hedayati, M.D.

  • Diagnostic Radiology Physician
  • Orange, CA
  • NPI 1336278431
  NPD Authorized official

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1154155752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 E COAST HWY STE 605",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252328",
            "telephone_number": "480-236-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ROSE LN",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901447",
            "telephone_number": "928-684-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICORE RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "HEDAYATI",
        "authorized_official_first_name": "PEJMAN",
        "authorized_official_middle_name": "PRESTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-236-8868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Ray Heinrich, M.A. LPC
• Laurie Ann Henegar, PHARM.D.
• Alexa Hershkowitz, FNP-C
• Eduardo Rodolfo Huergo, M.D.
• Jodi Lee Hunt, SLPA
• Innovative Dermatology Alliance Az, PC
• Clyde Irons Jr.
• J & J Smiles
• Audrey Jacobsen, DPT
• Allison Jenner

• Radiology Clinic/Center in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Radiology Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.