California Imaging & Diagnostics Medical Group, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CALIFORNIA IMAGING & DIAGNOSTICS MEDICAL GROUP, INC.

Practice address

850 E Latham Ave
Suite 101
Hemet, CA 92543-4391

Phone

(951) 929-9688

Fax

(951) 766-1269

NPI assigned

Jun 10, 2006

Organization subpart

Yes

Parent organization

CALIFORNIA IMAGING & DIAGNOSTICS MEDICAL GROUP, INC.As reported in NPPES

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

Authorized official

Name

Rosie Garcia

Title

Manager

Phone

(951) 791-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

California Imaging Diagnos3 organizations share this tax ID, including this one

Part of

California Imaging Diagnos

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• California Imaging & Diagnostics Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Murrieta, CA
  • NPI 1164098448
  NPD tax ID
• California Imaging & Diagnostics Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Sun City, CA
  • NPI 1538735808
  NPD tax ID

Locations

Practitioners 5

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

• Gloria Burroughs, M.D.

  • Diagnostic Radiology Physician
  • Sun City, CA
  • NPI 1851498224
  Medicare reassignment Care Compare group NPD
• Bradley Christopher Griffeth, M.D.

  • Diagnostic Radiology Physician
  • Murrieta, CA
  • NPI 1265693428
  Medicare reassignment Care Compare group NPD
• Gerald D Wareham, M.D.

  • Diagnostic Radiology Physician
  • Hemet, CA
  • NPI 1558335471
  Medicare reassignment Care Compare group NPD
• Kali P Chaudhuri, M.D.

  • Specialist
  • Hemet, CA
  • NPI 1538179437
  NPD (past)
• Tabita A Wright, MD

  • Diagnostic Radiology Physician
  • Hemet, CA
  • NPI 1447461272
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1326089020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433814",
            "telephone_number": "951-791-1111",
            "fax_number": "951-925-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E LATHAM AVE",
            "address_2": "SUITE 101",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434391",
            "telephone_number": "951-929-9688",
            "fax_number": "951-766-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA IMAGING & DIAGNOSTICS MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA IMAGING & DIAGNOSTICS MEDICAL GROUP, INC.",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-791-1111"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Ear, Nose, & Throat - Head & Neck Surgery Medical Corp.
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• California Family Life Center
• California Family Life Center
• California Family Life Center
• Gloria Camacho, DPM
• Maritza Roxana Camacho
• Benjamin Camarena
• C'Erra Camp
• Jeff Campbell

• Diagnostic Radiology Physician in Hemet, CA
• Providers in Hemet, 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 May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.