NPIMap

Organization Active NPI

Dynamic Imaging Associates of California, Inc

  • Radiology Clinic/Center
  • Fresno, CA
National Provider Identifier
1417584079
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DYNAMIC IMAGING ASSOCIATES OF CALIFORNIA, INC
Practice address
1125 E Spruce Ave Ste 103
Fresno, CA 93720-3385
Phone
(559) 425-0778
NPI assigned
Mar 24, 2020
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Dr. Harjot Dulai, MDNPI 1356557763
Title
Managing Partner
Phone
(559) 878-4510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1125 E Spruce Ave Ste 103
Fresno, CA 93720-3385

Mailing address

1125 E Spruce Ave Ste 103
Fresno, CA 93720-3385
Phone (559) 878-4510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200824002722 VA Part B Supplier - Clinic/Group Practice 8022431972 Receives reassigned benefits from 5 practitioners
Practice locations: Winchester, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1417584079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E SPRUCE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203385",
            "telephone_number": "559-878-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E SPRUCE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203385",
            "telephone_number": "559-425-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC IMAGING ASSOCIATES OF CALIFORNIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-03-14",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "DULAI",
        "authorized_official_first_name": "HARJOT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "559-878-4510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.

Verify at the official NPI Registry.