Active NPI
Plaza Medical Imaging
- Radiology Clinic/Center
- Santa Ana, CA
National Provider Identifier
1376055152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- FAC00063463
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.