NPIMap

Organization Active NPI

Health Diagnostics of California a Professional Corporation

  • Diagnostic Radiology Physician
  • Redlands, CA
National Provider Identifier
1164053286
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION
Practice address
1690 Barton Rd Ste 108
Redlands, CA 92373-4230
Phone
(909) 806-7025
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Howard John Simon, MDNPI 1073583068
Title
Ceo
Phone
(480) 478-6545

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1690 Barton Rd Ste 108
Redlands, CA 92373-4230

Mailing address

16220 N Scottsdale Rd Ste 600
Scottsdale, AZ 85254-1804
Phone (480) 306-6949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180825000084 CA Part B Supplier - Clinic/Group Practice 4284621525 Receives reassigned benefits from 62 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA; San Bernardino, CA; Sacramento, CA; Riverside, CA; Redwood City, CA; San Mateo, CA; San Rafael, CA; Santa Clara, CA…

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Health Diagnostics of California LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1180 Post St
San Francisco, CA 94109
Phone (415) 248-3700

Practitioners & affiliated clinicians

Practitioners 12

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": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1164053286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 N SCOTTSDALE RD STE 600",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541804",
            "telephone_number": "480-306-6949",
            "fax_number": "602-302-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BARTON RD STE 108",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734230",
            "telephone_number": "909-806-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-478-6545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.

Verify at the official NPI Registry.