Active NPI
Omega Imaging, Inc.
- Magnetic Resonance Imaging Radiologic Technologist
- Mission Viejo, CA
National Provider Identifier
1194770495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- License
- 75046
- Legal business name
- OMEGA IMAGING, INC.
- Practice address
- 26161 Marguerite Parkway, Suite a
Mission Viejo, CA 92692-3162 - Phone
- (949) 600-5151
- NPI assigned
- May 24, 2006
- 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
- Dr. William M Kelly, MD
- Title
- Medical Director
- Phone
- (760) 776-8001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | 75046 | CA | Primary |
Addresses
Primary practice location
26161 Marguerite Parkway, Suite a
Mission Viejo, CA 92692-3162
Mailing address
44489 Town Center Way
Suite D Box 532
Palm Desert, CA 92260-2789
Phone (760) 776-8001
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381881600000",
"number": "1194770495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44489 TOWN CENTER WAY",
"address_2": "SUITE D BOX 532",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602789",
"telephone_number": "760-776-8001",
"fax_number": "760-836-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26161 MARGUERITE PARKWAY, SUITE A",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926923162",
"telephone_number": "949-600-5151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMEGA IMAGING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2013-10-16",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "760-776-8001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2471M1202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "CA",
"license": "75046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.