Active NPI
Sharp and Children's MRI Center LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- San Diego, CA
National Provider Identifier
1346285970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- License
- B1988009338
- Legal business name
- SHARP AND CHILDREN'S MRI CENTER LLC
- Practice address
- 3075 Health Center Drive
San Diego, CA 92123 - Phone
- (858) 541-4550
- Fax
- (858) 541-4596
- NPI assigned
- Jun 18, 2006
- 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
- Russell N Low, MD
- Title
- Medical Director
- Phone
- (858) 565-0950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | B1988009338 | CA | Primary |
Addresses
Primary practice location
3075 Health Center Drive
San Diego, CA 92123
Mailing address
PO Box 23326
San Diego, CA 92193-3326
Phone (858) 565-0950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0083814 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1396087425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432857600000",
"number": "1346285970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23326",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921933326",
"telephone_number": "858-565-0950",
"fax_number": "858-244-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 HEALTH CENTER DRIVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "858-541-4550",
"fax_number": "858-541-4596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARP AND CHILDREN'S MRI CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2015-05-29",
"status": "A",
"authorized_official_last_name": "LOW",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "858-565-0950",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "CA",
"license": "B1988009338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0083814",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.