Organization Active NPI

Socal Surgical Imaging

  • Radiography Radiologic Technologist
  • San Diego, CA
National Provider Identifier
1306234703
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
RHF00072760 Issued in CA
Legal business name
SOCAL SURGICAL IMAGING
Practice address
10755 Scripps Poway Pkwy # 709
San Diego, CA 92131-3924
Phone
(858) 518-1799
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Kimberly Wells
Title
President
Phone
(858) 518-1799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471C3402X RHF00072760 CA Primary

Addresses

Primary practice location

10755 Scripps Poway Pkwy # 709
San Diego, CA 92131-3924

Mailing address

10755 Scripps Poway Pkwy # 709
San Diego, CA 92131-3924
Phone (858) 518-1799

National Provider Directory

National Provider Directory

Locations

10755 Scripps Poway Pkwy
#709
San Diego, CA 92131
Phone (858) 518-1799

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1306234703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 SCRIPPS POWAY PKWY # 709",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313924",
            "telephone_number": "858-518-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 SCRIPPS POWAY PKWY # 709",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313924",
            "telephone_number": "858-518-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL SURGICAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-518-1799"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "CA",
            "license": "RHF00072760",
            "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 Jan 7, 2015; 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.