NPIMap

Organization Active NPI

Viva Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1326898727
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
VIVA DIAGNOSTIC IMAGING, LLC
Practice address
3940 S Eastern Ave
Las Vegas, NV 89119-5102
Phone
(702) 941-7958
NPI assigned
Mar 26, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Bradford Ames
Title
Cfo
Phone
(949) 490-5538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

3940 S Eastern Ave
Las Vegas, NV 89119-5102

Mailing address

660 Newport Center Dr Ste 1020
Newport Beach, CA 92660-8028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240920000337 NV Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6507307311 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

660 Newport Center Dr
Ste 1020
Newport Beach, CA 92660

7175 N Durango Dr
Ste 170
Las Vegas, NV 89149
Phone (702) 941-7512

Practitioners & affiliated clinicians

Practitioners 11

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": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1326898727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NEWPORT CENTER DR STE 1020",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195102",
            "telephone_number": "702-941-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA DIAGNOSTIC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-490-5538"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.