NPIMap

Organization Active NPI

North Oc Imaging JV, LLC

  • Radiology Clinic/Center
  • Chino Hills, CA
National Provider Identifier
1376209940
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
NORTH OC IMAGING JV, LLC
Practice address
15855 Pomona Rincon Road
Ste 101
Chino Hills, CA 91709
Phone
(714) 578-8882
NPI assigned
Nov 9, 2021
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Martin Kelley
Title
Director of Payor Relations
Phone
(404) 392-9903

Specialties & licenses 1

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

Addresses

Primary practice location

15855 Pomona Rincon Road
Ste 101
Chino Hills, CA 91709

Mailing address

15855 Pomona Rincon Road
Ste 101
Chino Hills, CA 91709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220209002565 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6204229529 Practice locations: Chino Hills, CA
O20220401001471 CA Part B Supplier - Clinic/Group Practice 6204229529 Receives reassigned benefits from 10 practitioners
Practice locations: Cerritos, CA; Fullerton, CA; Irvine, CA; Los Angeles, CA; Santa Ana, CA; Walnut, CA; Yorba Linda, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
North Oc Imaging JV LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

15855 Pomona Rincon Rd
Ste 101
Chino Hills, CA 91709

13400 Jamboree Rd
Ste 100
Irvine, CA 92602
Phone (657) 293-2770

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1376209940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15855 POMONA RINCON ROAD",
            "address_2": "STE 101",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 POMONA RINCON ROAD",
            "address_2": "STE 101",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709",
            "telephone_number": "714-578-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OC IMAGING JV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
        "authorized_official_telephone_number": "404-392-9903"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.