Organization Active NPI

Orion Radiology, Inc

  • Diagnostic Radiology Physician
  • Big Bear Lake, CA
National Provider Identifier
1346411261
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ORION RADIOLOGY, INC
Practice address
41870 Garstin Drive
Big Bear Lake, CA 92315-0000
Phone
(909) 866-6501
Fax
(909) 878-8282
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Slyvia Sandra Ortiz, M.D.
Title
President
Phone
(909) 866-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

41870 Garstin Drive
Big Bear Lake, CA 92315-0000

Mailing address

PO Box 545
Newbury Park, CA 91319-0545
Phone (805) 375-8800

Other identifiers 1

IdentifierTypeStateIssuer
00G565550MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1346411261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913190545",
            "telephone_number": "805-375-8800",
            "fax_number": "805-375-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41870 GARSTIN DRIVE",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923150000",
            "telephone_number": "909-866-6501",
            "fax_number": "909-878-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORION RADIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "SLYVIA",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-866-6501",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G565550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bear Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.