Pmdtc, LLC

Primary specialty

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

Legal business name

PMDTC, LLC

Doing business as

Town and Country Diagnostics

Practice address

29122 Rancho Viejo Rd Ste 208
San Juan Capistrano, CA 92675-1039

Phone

(949) 550-2279

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Tangina Maloof

Title

Treasurer

Phone

(469) 636-5055

Specialties & licenses 1

Addresses

Other names 1

• Town and Country Diagnostics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pmdtc, LLC

  dba Town and Country Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Visalia, CA
  • NPI 1427578392

  7416244363

  Same PAC ID
• Pmdtc, LLC

  dba Town and Country Diagnostics IDTF

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • San Juan Capistrano, CA
  • NPI 1518419068

  7416244363

  Same PAC ID

Tax ID family

Pmdtc LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Pmdtc, LLC

  dba Town and Country Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Visalia, CA
  • NPI 1427578392
  NPD tax ID
• Pmdtc, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Laguna Hills, CA
  • NPI 1457816712
  NPD tax ID
• Pmdtc, LLC

  dba Town and Country Diagnostics IDTF

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • San Juan Capistrano, CA
  • NPI 1518419068
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Bakorp, L.L.C.

  dba Pacific Mobile Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • West Valley, UT
  • NPI 1679812440

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1164885992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W BROADWAY RD STE 155",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821138",
            "telephone_number": "480-528-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29122 RANCHO VIEJO RD STE 208",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751039",
            "telephone_number": "949-550-2279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3745 W Caldwell Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932779230",
            "country_code": "US",
            "telephone_number": "559-734-0822",
            "fax_number": "559-734-4383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PMDTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "MALOOF",
        "authorized_official_first_name": "TANGINA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "469-636-5055"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town and Country Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Town and Country Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Perry, PPS
• Samuel Pica
• Kristen Pinedo, MA, LMFT
• Sholeh Pirouz
• Samantha Plummer
• Pmdtc, LLC (Town and Country Diagnostics IDTF)
• Jana Pokora, DPT
• Kristin Leigh Popovich, SP
• Erin Beth Popp, MA, LEP
• Matthew Mercado Posadas, PT DPT

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 Mar 31, 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.

Verify at the official NPI Registry.