Active NPI
Radex Mobile Network LLC
Doing business as Radex Mobile Network
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- RADEX MOBILE NETWORK LLC
- Doing business as
- Radex Mobile Network
- Practice address
- 1633 E 4TH St Ste 236
Santa Ana, CA 92701-5144 - Phone
- (714) 474-1149
- Fax
- (866) 888-0865
- NPI assigned
- Mar 13, 2018
- Last updated
- Oct 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Conrado Olalia Quemuel, CRT
- Title
- Ceo
- Phone
- (714) 474-1149
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
1633 E 4TH St Ste 236
Santa Ana, CA 92701-5144
Mailing address
1633 E 4TH St Ste 236
Santa Ana, CA 92701-5144
Phone (714) 474-1149
Other practice location 1
530 S 8th St
Las Vegas, NV 89101-7003
Phone (714) 800-3375
Other names 1
- Radex Mobile Network
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180625003741 | CA | Part B Supplier - Portable X-Ray Supplier | 5698020097 | Practice locations: Santa Ana, CA |
National Provider Directory
National Provider DirectoryLocations
1633 E 4th St
Ste 236
Santa Ana, CA 92701
Phone (714) 474-1149
530 S 8th St
Las Vegas, NV 89101
Phone (714) 800-3375
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Radiography Radiologic Technologist
- Tustin, CA
- NPI 1568968899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1336642685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 E 4TH ST STE 236",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015144",
"telephone_number": "714-474-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 E 4TH ST STE 236",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015144",
"telephone_number": "714-474-1149",
"fax_number": "866-888-0865"
}
],
"practiceLocations": [
{
"address_1": "530 S 8th St",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891017003",
"country_code": "US",
"telephone_number": "714-800-3375",
"fax_number": "866-888-0865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RADEX MOBILE NETWORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-13",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "QUEMUEL",
"authorized_official_first_name": "CONRADO",
"authorized_official_middle_name": "OLALIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-474-1149",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRT"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Radex Mobile Network",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.