Organization Active NPI

I V Radiology Medical Group

Doing business as Imperial Valley Radiology Medical Group

  • Diagnostic Radiology Physician
  • Columbia, MD
National Provider Identifier
1467993386
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
I V RADIOLOGY MEDICAL GROUP
Doing business as
Imperial Valley Radiology Medical Group
Practice address
10000 Town Center Ave
Apt 244
Columbia, MD 21044-5418
Phone
(559) 455-4009
Fax
(916) 533-0313
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Dr. Ramon O Pascual, MD
Title
Managing Partner
Phone
(559) 455-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

10000 Town Center Ave
Apt 244
Columbia, MD 21044-5418

Mailing address

PO Box 9
Newbury Park, CA 91319-0009
Phone (559) 455-4009

Other names 1

  • Imperial Valley Radiology Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
I V Radiology Medical Group8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1467993386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913190009",
            "telephone_number": "559-455-4009",
            "fax_number": "916-533-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 TOWN CENTER AVE",
            "address_2": "APT 244",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445418",
            "telephone_number": "559-455-4009",
            "fax_number": "916-533-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I V RADIOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "559-455-4009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Valley Radiology Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Imperial Valley Radiology Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.