Cancer Center Imaging Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CANCER CENTER IMAGING INC.

Practice address

16100 Sand Canyon Ave Ste 130
Irvine, CA 92618-3722

Phone

(949) 502-3475

Fax

(949) 387-4013

NPI assigned

Jan 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth M. Tokita, M.D.NPI 1447432653

Title

Medical Director

Phone

(949) 417-1100

Specialties & licenses 2

Addresses

Other names 1

• KSK Imaging Center of Irvine, KSK Breast Center of Irvine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Kenneth M. Tokita, M.D.

  • Radiation Oncology Physician
  • Irvine, CA
  • NPI 1447432653
  Medicare reassignment NPD Authorized official
• E. Edmund Kim, M.D.

  • Nuclear Radiology Physician
  • Irvine, CA
  • NPI 1235222902
  Medicare reassignment NPD
• Karen L Reuss, M.D.

  • Diagnostic Radiology Physician
  • Laguna Hills, CA
  • NPI 1336190354
  Medicare reassignment NPD
• Neeta Mody Vargo, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1477719474

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1275838336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE.",
            "address_2": "SUITE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183722",
            "telephone_number": "949-502-3475",
            "fax_number": "949-387-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183722",
            "telephone_number": "949-502-3475",
            "fax_number": "949-387-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CENTER IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "TOKITA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-417-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KSK Imaging Center of Irvine, KSK Breast Center of Irvine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KSK Imaging Center of Irvine, KSK Breast Center of Irvine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Eileen Campbell, LCSW
• Ahiline Campos
• Kassandra Campos
• Nadia S Campos
• Peter D. Cancellier, D.D.S.
• Kristin Canedo
• Denise Canellos, MS, CNS
• Bianca Cannavo, MCD-CCC-SLP
• Julie Lynn Canning, RDH
• Russell Wayne Cannon, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.