Active NPI
Victorville Openscan MRI
- Specialist
- Victorville, CA
National Provider Identifier
1407963093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- VICTORVILLE OPENSCAN MRI
- Practice address
- 12276 Hesperia Rd Ste 6
Victorville, CA 92395-5838 - Phone
- (760) 843-0995
- Fax
- (760) 843-0975
- NPI assigned
- Aug 23, 2006
- 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
- Nancy Brandon
- Title
- Vice President
- Phone
- (214) 303-2776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CA | Primary |
Addresses
Primary practice location
12276 Hesperia Rd Ste 6
Victorville, CA 92395-5838
Mailing address
2200 Ross Ave
3600 Chase Tower
Dallas, TX 75201-2708
Phone (214) 303-2776
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407963093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 ROSS AVE",
"address_2": "3600 CHASE TOWER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752012708",
"telephone_number": "214-303-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12276 HESPERIA RD STE 6",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955838",
"telephone_number": "760-843-0995",
"fax_number": "760-843-0975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORVILLE OPENSCAN MRI",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRANDON",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "214-303-2776"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- 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.