Health and Human Service

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

Legal business name

HEALTH AND HUMAN SERVICE

Practice address

3851 Rosecrans St
San Diego, CA 92110-3115

Phone

(619) 692-5654

Fax

(619) 692-8584

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James D Dwyer

Title

Radiologic Technologist

Phone

(619) 692-5654

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316062151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33881",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633881",
            "telephone_number": "619-972-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103115",
            "telephone_number": "619-692-5654",
            "fax_number": "619-692-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND HUMAN SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RADIOLOGIC TECHNOLOGIST",
        "authorized_official_telephone_number": "619-692-5654",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiography Radiologic Technologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Radiography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.