Simi Valley Medical Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SIMI VALLEY MEDICAL IMAGING, LLC

Practice address

1687 Erringer Rd
Suite 210
Simi Valley, CA 93065-6508

Phone

(805) 527-4674

Fax

(805) 527-4675

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Nick V Dimartino

Title

Cfo & Executive VP

Phone

(425) 637-2991

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1285692970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94293",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246593",
            "telephone_number": "425-637-2991",
            "fax_number": "425-637-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD",
            "address_2": "SUITE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656508",
            "telephone_number": "805-527-4674",
            "fax_number": "805-527-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI VALLEY MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "DIMARTINO",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CFO & EXECUTIVE VP",
        "authorized_official_telephone_number": "425-637-2991"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056261",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simi Valley Hospital & Health Care Services (Simi Valley Hospital)
• Simi Valley Hospital and Health Care Services
• Simi Valley Hospital and Health Care Services (Adventist Health/Home Care Services)
• Simi Valley Hospital Pharmacy
• Simi Valley LTC LLC
• Simi Valley Midwifery
• Simi Valley Mtu
• Simi Valley Recovery, LLC
• Simi Valley Regional Urgent Care
• Simi Valley Retina Specialists Inc

• Diagnostic Radiology Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.