D'General LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

D'GENERAL LLC

Doing business as

D'General Mobile Xray Services

Practice address

421 N Brookhurst St Ste 228D
Anaheim, CA 92801-5619

Phone

(714) 876-3400

NPI assigned

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Mr. David Cruz Jr.

Title

Ceo

Phone

(714) 876-3400

Specialties & licenses 1

Addresses

Other names 2

• D'General Mobile Xray Services Doing business as
• D'General LLC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Portable X-ray supplier certification: CCN 05X0010075

Legal name

D'GENERAL LLC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jun 12, 2023

Last certification

Jun 12, 2023

Ownership / control type

Other Than Private

Facility address

421 N Brookhurst St, Ste 228D
Anaheim, CA 92801

Locations

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1275252819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 228D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015619",
            "telephone_number": "714-876-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 228D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015619",
            "telephone_number": "714-876-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D'GENERAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-876-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D'General Mobile Xray Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D'General LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mobile Radiology Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.