Organization Active NPI

Rivercrest MRI, Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Riverside, CA
National Provider Identifier
1407173396
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
RIVERCREST MRI, INC.
Practice address
6276 River Crest Dr
Riverside, CA 92507-0783
Phone
(951) 413-0979
NPI assigned
Apr 30, 2010
Last updated
Apr 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Randolph Taylor, ARM, CHC
Title
Risk Manager
Phone
(949) 870-3617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary

Addresses

Primary practice location

6276 River Crest Dr
Riverside, CA 92507-0783

Mailing address

20377 SW Acacia St Ste 110
Newport Beach, CA 92660-0781
Phone (949) 870-3617

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1407173396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20377 SW ACACIA ST STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600781",
            "telephone_number": "949-870-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 RIVER CREST DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070783",
            "telephone_number": "951-413-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCREST MRI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "RISK MANAGER",
        "authorized_official_telephone_number": "949-870-3617",
        "authorized_official_credential": "ARM, CHC"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.