Active NPI
Orion Radiology, Inc
- Diagnostic Radiology Physician
- Big Bear Lake, CA
National Provider Identifier
1346411261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G565550 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.