Organization Active NPI

Starboard Dynamics LLC

  • Radiologic Technologist
  • Garden Grove, CA
National Provider Identifier
1346108537
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
STARBOARD DYNAMICS LLC
Practice address
10402 Trask Ave Ste C
Garden Grove, CA 92843-3207
Phone
(714) 675-8030
NPI assigned
Jan 14, 2026
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Thomas Le, RADIOLOGY TECHNICIANNPI 1447118633
Title
Owner
Phone
(714) 675-8030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X NU Primary

Addresses

Primary practice location

10402 Trask Ave Ste C
Garden Grove, CA 92843-3207

Mailing address

PO Box 8464
Fountain Valley, CA 92728-8464
Phone (714) 675-8030

National Provider Directory

National Provider Directory

Locations

10402 Trask Ave
Ste C
Garden Grove, CA 92843
Phone (714) 675-8030

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.

NPI Registry JSON

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1346108537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8464",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288464",
            "telephone_number": "714-675-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 TRASK AVE STE C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433207",
            "telephone_number": "714-675-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBOARD DYNAMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-675-8030",
        "authorized_official_credential": "RADIOLOGY TECHNICIAN"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.