Active NPI
Pmdtc, LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Visalia, CA
National Provider Identifier
1427578392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- PMDTC, LLC
- Practice address
- 3745 W Caldwell Ave Ste C
Visalia, CA 93277-9230 - Phone
- (707) 766-4140
- Fax
- (559) 734-4383
- NPI assigned
- Jun 22, 2017
- 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
- Tangina Maloof
- Title
- Treasurer
- Phone
- (469) 636-5055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | CA | Primary |
Addresses
Primary practice location
3745 W Caldwell Ave Ste C
Visalia, CA 93277-9230
Mailing address
1600 W Broadway Rd Ste 155
Tempe, AZ 85282-1138
Phone (480) 528-3322
Other practice location 1
30 Hughes Ste 208
Irvine, CA 92618-1916
Phone (602) 249-4790
Other names 1
- Town and Country Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170925002861 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7416244363 | Practice locations: Visalia, CA |
Portable X-ray supplier certification: CCN 05X0010014
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- TOWN AND COUNTRY DIAGNOSTICS
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Jul 25, 2002
- Last certification
- Jul 16, 2018
- Ownership / control type
- Corporation
- Most recent change of ownership
- Apr 1, 2016
- Facility address
- 3745 W Caldwell Avenue, Ste C (RHB 77020)
Visalia, CA 93277
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- San Juan Capistrano, CA
- NPI 1164885992
7416244363
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- San Juan Capistrano, CA
- NPI 1518419068
7416244363
National Provider Directory
National Provider Directory- Tax ID family
- Pmdtc LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- San Juan Capistrano, CA
- NPI 1164885992
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Laguna Hills, CA
- NPI 1457816712
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- San Juan Capistrano, CA
- NPI 1518419068
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- West Valley, UT
- NPI 1679812440
Member Of
Locations
361 E Grangeville Blvd
Hanford, CA 93230
Phone (559) 582-9221
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Bonsall, CA
- NPI 1053387928
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578656237
-
- Diagnostic Radiology Physician
- Roanoke, VA
- NPI 1992768147
-
- Diagnostic Radiology Physician
- Carmel, IN
- NPI 1639148406
-
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1912974304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743379200000",
"number": "1427578392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W BROADWAY RD STE 155",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821138",
"telephone_number": "480-528-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3745 W CALDWELL AVE STE C",
"city": "VISALIA",
"state": "CA",
"postal_code": "932779230",
"telephone_number": "707-766-4140",
"fax_number": "559-734-4383"
}
],
"practiceLocations": [
{
"address_1": "30 Hughes Ste 208",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926181916",
"country_code": "US",
"telephone_number": "602-249-4790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PMDTC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-22",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A",
"authorized_official_last_name": "MALOOF",
"authorized_official_first_name": "TANGINA",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "469-636-5055"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Town and Country Diagnostics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Town and Country Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.