Organization Active NPI

Plaza Medical Imaging

  • Radiology Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1376055152
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
FAC00063463 Issued in CA
Legal business name
PLAZA MEDICAL IMAGING
Practice address
3731 S Plaza Dr
Santa Ana, CA 92704-7463
Phone
(714) 918-0478
Fax
(714) 918-0470
NPI assigned
Nov 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Mr. Paul Mark Wootton
Title
Director of Operations
Phone
(714) 918-0478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X FAC00063463 CA Primary

Addresses

Primary practice location

3731 S Plaza Dr
Santa Ana, CA 92704-7463

Mailing address

3731 S Plaza Dr
Santa Ana, CA 92704-7463
Phone (714) 918-0478

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1376055152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 S PLAZA DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047463",
            "telephone_number": "714-918-0478",
            "fax_number": "714-918-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 S PLAZA DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047463",
            "telephone_number": "714-918-0478",
            "fax_number": "714-918-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA MEDICAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "WOOTTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "714-918-0478",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "FAC00063463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.