Organization Active NPI

University Diagnotics, Inc.

Doing business as Orange County Diagnostics

  • Radiology Clinic/Center
  • Mission Viejo, CA
National Provider Identifier
1306835038
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
A67310 Issued in CA
Legal business name
UNIVERSITY DIAGNOTICS, INC.
Doing business as
Orange County Diagnostics
Practice address
27725 Santa Margarita Parkway
Suite 101
Mission Viejo, CA 92691-6706
Phone
(949) 462-3999
Fax
(949) 462-3777
NPI assigned
Oct 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Seyed Shahrokni, M.D.NPI 1104877497
Title
Owner/ Medical Director
Phone
(949) 462-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Radiology Clinic/Center 261QR0200X A67310 CA Primary
Mammography Clinic/Center 261QR0206X
Mammography Clinic/Center 261QR0206X A67310 CA

Addresses

Primary practice location

27725 Santa Margarita Parkway
Suite 101
Mission Viejo, CA 92691-6706

Mailing address

27758 Santa Margarita Parkway
#409
Mission Viejo, CA 92691-6709
Phone (949) 364-5716

Other identifiers 4

IdentifierTypeStateIssuer
237923OtherCAMAMMOGRAPHY CERT NUM
GR0098650MedicaidCA
DD6379OtherCARAILROAD MEDICARE
ZZZ66771ZOtherCABLUE SHIELD OF CA

Other names 1

  • Orange County Diagnostics Doing business as

National Provider Directory

National Provider Directory

Locations

999 N Tustin Ave
Ste 14
Santa Ana, CA 92705
Phone (949) 462-3999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1129334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1306835038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27758 SANTA MARGARITA PARKWAY",
            "address_2": "#409",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916709",
            "telephone_number": "949-364-5716",
            "fax_number": "949-364-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PARKWAY",
            "address_2": "SUITE 101",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916706",
            "telephone_number": "949-462-3999",
            "fax_number": "949-462-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DIAGNOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-15",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "SHAHROKNI",
        "authorized_official_first_name": "SEYED",
        "authorized_official_title_or_position": "OWNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-462-3999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "A67310",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "CA",
            "license": "A67310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMMOGRAPHY CERT NUM",
            "identifier": "237923",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD6379",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ66771Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange County Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.