Anaheim Hills Medical Imaging, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ANAHEIM HILLS MEDICAL IMAGING, INC.

Practice address

500 S Anaheim Hills Rd
#136
Anaheim Hills, CA 92807-4780

Phone

(714) 282-8160

Fax

(714) 282-7031

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Lisa Brockett

Title

Ceo

Phone

(949) 250-4500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205898095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "#136",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-282-8160",
            "fax_number": "714-282-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "#136",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-282-8160",
            "fax_number": "714-282-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM HILLS MEDICAL IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROCKETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-250-4500"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ09900Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Mirai Dental Corporation
• Aero Mobility, Inc.
• Anaheim Hills Medical Group, a Medical Corporation
• Anaheim Hills Wellness Center, a Medical Corporation
• Ando & Aston Physical Therapy, Inc.
• Beavans Medical, Inc.
• Marc Becker, PH.D.
• Michael Max Belda, DDS

• Physiological Laboratory in Anaheim Hills, CA
• Providers in Anaheim Hills, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.