M D Diagnostic Services

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

C35209 Issued in CA

Legal business name

M D DIAGNOSTIC SERVICES

Practice address

11922 Seacrest Dr
Suite B
Garden Grove, CA 92840-1937

Phone

(714) 636-6337

Fax

(714) 636-1782

NPI assigned

Mar 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert Park Newman, M.D.

Title

Director

Phone

(714) 636-6337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1164746160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928420695",
            "telephone_number": "714-636-6337",
            "fax_number": "714-636-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11922 SEACREST DR",
            "address_2": "SUITE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928401937",
            "telephone_number": "714-636-6337",
            "fax_number": "714-636-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M D DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-636-6337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "C35209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yen Hoang Ly
• Amie Lynch
• Philip A.R.L. Lynn, M.D.
• Corinne Lyons
• Teresa Louise Lyons, BEHAVIOR TECHNICIAN
• Audrey S. Ma, DDS
• Chuan-Yu Ma
• Phoebe Phung Kim Ma, PHARMD
• Binh V Mac, PHARMD
• Antonio Macedo, BCBA

• Diagnostic Ultrasound Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Diagnostic Ultrasound Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.