Presidio Diagnostics LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PRESIDIO DIAGNOSTICS LLC

Practice address

7925 Silverton Ave Ste 503
San Diego, CA 92126-6350

Phone

(951) 529-6768

NPI assigned

Jun 11, 2025

Organization subpart

No

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

Authorized official

Name

Tangina R Maloof

Title

Treasurer

Phone

(469) 636-5055

Specialties & licenses 1

Addresses

Other names 2

• Pacific Mobile Diagnostics Doing business as
• Pacific Mobile Diagnostics of San Diego Doing business as

Tax ID family

Pacific Mobile Diagnostics2 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.

• Presidio Diagnostics LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • San Diego, CA
  • NPI 1679455596
  NPD tax ID

Locations

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1386539203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W BROADWAY RD STE 155",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 SILVERTON AVE STE 503",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266350",
            "telephone_number": "951-529-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESIDIO DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "MALOOF",
        "authorized_official_first_name": "TANGINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "469-636-5055"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Mobile Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Mobile Diagnostics of San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jan Frazier Prentice, PA-C
• Monica Prentice
• Elise C Prepetit
• Prescribed Oxygen Inc
• Asaf Presente, M.D.,PH.D.
• Presidio Diagnostics LLC
• Presidio Medical Group Inc
• Presioca Duval Services, LLC
• Catalina Peters Preskill, MD
• David Benjamin Preskill, MD

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Diego, CA
• Providers in San Diego, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.