NPIMap

Organization Active NPI

Coast Radiology Imaging and Intervention Inc

  • Diagnostic Radiology Physician
  • Mission Viejo, CA
National Provider Identifier
1376690636
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COAST RADIOLOGY IMAGING AND INTERVENTION INC
Practice address
27700 Medical Center Road
Radiology Department
Mission Viejo, CA 92691
Phone
(949) 364-7744
Fax
(949) 364-4233
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Todd Lempert, M.D.NPI 1588616528
Title
President
Phone
(949) 364-7744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

27700 Medical Center Road
Radiology Department
Mission Viejo, CA 92691

Mailing address

Dept la 21789
Pasadena, CA 91185-1789
Phone (949) 263-8620

Other identifiers 4

IdentifierTypeStateIssuer
ZZZ69493ZOtherCABLUE SHIELD
ZZZ69494ZOtherCABLUE SHIELD
GR0104330MedicaidCA
ZZZ69492ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070224000200 CA Part B Supplier - Clinic/Group Practice 6406958255 Receives reassigned benefits from 28 practitioners
Practice locations: Laguna Niguel, CA; Laguna Beach, CA; Mission Viejo, CA

National Provider Directory

National Provider Directory

Locations

20 Executive Park
Ste 155
Irvine, CA 92614

27799 Medical Center Rd
#18
Mission Viejo, CA 92691
Phone (949) 364-7744

26732 Crown Valley Pkwy
Ste 171
Mission Viejo, CA 92691
Phone (714) 364-3484

27281 Las Ramblas
Mission Viejo, CA 92691
Phone (714) 865-8888

Dept LA 21789
Pasadena, CA 91185
Phone (949) 364-7744

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1376690636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21789",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851789",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27700 MEDICAL CENTER ROAD",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-364-7744",
            "fax_number": "949-364-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST RADIOLOGY IMAGING AND INTERVENTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "LEMPERT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-364-7744",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ69493Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ69494Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104330",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ69492Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.