Aegis Pediatric Imaging Medical Group

Primary specialty

Pediatric Radiology PhysicianTaxonomy code 2085P0229X

Legal business name

AEGIS PEDIATRIC IMAGING MEDICAL GROUP

Practice address

116 W Lime Ave
Monrovia, CA 91016-2841

Phone

(626) 391-2014

Fax

(626) 915-1209

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Marvin Nelson, M.D.

Title

Managing Partner

Phone

(626) 391-2014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376698548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930620190",
            "telephone_number": "805-522-5940",
            "fax_number": "805-522-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W LIME AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162841",
            "telephone_number": "626-391-2014",
            "fax_number": "626-915-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS PEDIATRIC IMAGING MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "626-391-2014",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Adusasu
• Jedidia Adusei
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• Renee Advincula
• Aegis Ambulance Service Inc
• Christine Afework
• Mohammad Afrasiabi
• Ag Monrovia, LLC
• Anna Agabekyan
• Kelly Agama

• Pediatric Radiology Physician in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Pediatric Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.