Active NPI
Community Health Imaging Centers
- Radiology Clinic/Center
- San Diego, CA
National Provider Identifier
1154763407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 239408
- Legal business name
- COMMUNITY HEALTH IMAGING CENTERS
- Practice address
- 4060 Fairmount Ave
San Diego, CA 92105-1608 - Phone
- (619) 997-4859
- Fax
- (619) 342-1698
- NPI assigned
- Jul 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Zara Marselian
- Title
- President and Ceo
- Phone
- (619) 584-1612
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 239408 | CA | Primary |
| Mammography Clinic/Center | 261QR0206X | 81412111187 | CA |
Addresses
Primary practice location
4060 Fairmount Ave
San Diego, CA 92105-1608
Mailing address
4060 Fairmount Ave
San Diego, CA 92105-1608
Phone (619) 997-4859
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB248047 | Other | CA | MEDICARE |
| 1154763407 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160113002942 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9537461108 | Practice locations: San Diego, CA |
National Provider Directory
National Provider DirectoryLocations
4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759708800000",
"number": "1154763407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 FAIRMOUNT AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051608",
"telephone_number": "619-997-4859",
"fax_number": "619-342-1698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FAIRMOUNT AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051608",
"telephone_number": "619-997-4859",
"fax_number": "619-342-1698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HEALTH IMAGING CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-26",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A",
"authorized_official_last_name": "MARSELIAN",
"authorized_official_first_name": "ZARA",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "619-584-1612",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "CA",
"license": "239408",
"primary": true
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": "CA",
"license": "81412111187",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CB248047",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154763407",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Community Dental Services
- Community Dental Services
- Community Eldercare of San Diego
- Community Eldercare San Diego
- Community Health and Immunization Services, LLC
- Community in Home Care
- Community Prescription Center
- Community Research Fgoundation
- Community Research Foundation
- Community Research Foundation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.