Active NPI
Quality Medical Imaging of California Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Aliso Viejo, CA
National Provider Identifier
1396903191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- License
- RHL125986
- Legal business name
- QUALITY MEDICAL IMAGING OF CALIFORNIA INC
- Practice address
- 16A Journey Ste 11
Aliso Viejo, CA 92656-5375 - Phone
- (702) 839-1133
- Fax
- (702) 851-1616
- NPI assigned
- May 28, 2008
- Last updated
- Mar 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger C Faselt
- Title
- President
- Phone
- (702) 839-1133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | RHL125986 | CA | Primary |
Addresses
Primary practice location
16A Journey Ste 11
Aliso Viejo, CA 92656-5375
Mailing address
2490 Professional CT
Las Vegas, NV 89128-0835
Phone (702) 839-1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05X0010024 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080716000352 | CA | Part B Supplier - Portable X-Ray Supplier | 0941373419 | Practice locations: Aliso Viejo, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Aliso Viejo, CA
- NPI 1467610212
0941373419
National Provider Directory
National Provider Directory- Tax ID family
- Quality Medical Imaging of California Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Aliso Viejo, CA
- NPI 1467610212
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Vascular & Interventional Radiology Physician
- Pompano Beach, FL
- NPI 1801899042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1396903191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 PROFESSIONAL CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280835",
"telephone_number": "702-839-1133",
"fax_number": "702-851-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16A JOURNEY STE 11",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926565375",
"telephone_number": "702-839-1133",
"fax_number": "702-851-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY MEDICAL IMAGING OF CALIFORNIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-28",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "FASELT",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-839-1133"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "CA",
"license": "RHL125986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05X0010024",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.