Advanced Cardiac Imaging

Organization Active NPI Radiology Clinic/Center · Westminster, CA

NPI 1386863439 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1386863439
Entity type
Organization (NPI type 2)
Primary specialty
Radiology Clinic/Center 261QR0200X
License
7163-30 (CA)
Legal business name
ADVANCED CARDIAC IMAGING
Practice address
15569 Brookhurst St
Westminster, CA 92683-7554
Phone
(714) 531-3510
Fax
(714) 531-3701
NPI assigned
Apr 25, 2007
Organization subpart
No

Authorized official

Name
Mr. Toan Duy Dao, C.N.M.T
Title
Manager
Phone
(714) 614-5062

National Provider Directory

Locations

15569 Brookhurst St
Westminster, CA 92683
Phone (714) 531-1358

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 7163-30 CA Yes

Addresses

Primary practice location

15569 Brookhurst St
Westminster, CA 92683-7554

Mailing address

15569 Brookhurst St
Westminster, CA 92683-7554
Phone (714) 531-3510

Other identifiers

IdentifierTypeStateIssuer
7163-30OtherCACALIFORNIA DHS LICENSE

Other names

  • Advanced Nuclear Imaging Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386863439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15569 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837554",
            "telephone_number": "714-531-3510",
            "fax_number": "714-531-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15569 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837554",
            "telephone_number": "714-531-3510",
            "fax_number": "714-531-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIAC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "TOAN",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-614-5062",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.N.M.T"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "7163-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DHS LICENSE",
            "identifier": "7163-30",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Nuclear Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, CA

All providers in Westminster, CA · Radiology Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.