Active NPI
Steven Secrest
- Nuclear Medicine Technology Radiologic Technologist
- Costa Mesa, CA
National Provider Identifier
1194180182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Technology Radiologic Technologist
- License
- RHN2685
- Practice address
- 3206 Colorado PL
Costa Mesa, CA 92626-2233 - Phone
- (714) 697-3369
- NPI assigned
- Dec 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | RHN2685 | CA | Primary |
Addresses
Primary practice location
3206 Colorado PL
Costa Mesa, CA 92626-2233
Mailing address
3206 Colorado PL
Costa Mesa, CA 92626-2233
Phone (714) 697-3369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHN2685 | CA | MD | Nuclear Medicine Technology Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1194180182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 COLORADO PL",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262233",
"telephone_number": "714-697-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3206 COLORADO PL",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262233",
"telephone_number": "714-697-3369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECREST",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-18",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2471N0900X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": "CA",
"license": "RHN2685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.