Active NPI
My Imaging Center
- Radiology Clinic/Center
- Fallbrook, CA
National Provider Identifier
1356617096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- MY IMAGING CENTER
- Practice address
- 616 E Alvarado St Ste D
Fallbrook, CA 92028-2350 - Phone
- (760) 689-6100
- Fax
- (760) 689-6110
- NPI assigned
- Mar 27, 2012
- 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
- Ms. Perla I Nunez
- Title
- Office Manager
- Phone
- (323) 648-0500
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | CA | ||
| Diagnostic Radiology Physician | 2085R0202X | CA | ||
| Diagnostic Ultrasound Physician | 2085U0001X | CA | ||
| Radiologic Technologist | 247100000X | CA | ||
| Computed Tomography Radiologic Technologist | 2471C3401X | CA | ||
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | CA | ||
| Radiology Clinic/Center | 261QR0200X | CA | Primary | |
| Preferred Provider Organization | 305R00000X | CA |
Addresses
Primary practice location
616 E Alvarado St Ste D
Fallbrook, CA 92028-2350
Mailing address
5757 Wilshire Blvd Ste 100
Los Angeles, CA 90036-3686
Phone (323) 648-0500
National Provider Directory
National Provider DirectoryLocations
616 E Alvarado St
Ste D
Fallbrook, CA 92028
Phone (760) 689-6100
5757 Wilshire Blvd
Ste 100
Los Angeles, CA 90036
Phone (323) 648-0500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1356617096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 WILSHIRE BLVD STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363686",
"telephone_number": "323-648-0500",
"fax_number": "323-648-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 E ALVARADO ST STE D",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920282350",
"telephone_number": "760-689-6100",
"fax_number": "760-689-6110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY IMAGING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-27",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "NUNEZ",
"authorized_official_first_name": "PERLA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "323-648-0500",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2471C3401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2471M1202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.