Organization Active NPI

Peak Diagnostic Services LLC

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1265949838
Registry record updated Dec 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PEAK DIAGNOSTIC SERVICES LLC
Practice address
8901 Activity Rd
San Diego, CA 92126-4427
Phone
(619) 752-0001
NPI assigned
Jan 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2020

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

Authorized official

Name
Michael Wang, MD
Title
Managing Member
Phone
(619) 752-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

8901 Activity Rd
San Diego, CA 92126-4427

Mailing address

8901 Activity Rd
San Diego, CA 92126-4427
Phone (619) 752-0001

National Provider Directory

National Provider Directory

Locations

8901 Activity Rd
Ste 120
San Diego, CA 92126

27699 Jefferson Ave
Ste 201
Temecula, CA 92590
Phone (602) 421-4204

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607212800000",
    "number": "1265949838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 ACTIVITY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264427",
            "telephone_number": "619-752-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 ACTIVITY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264427",
            "telephone_number": "619-752-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "619-752-0001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.