Active NPI
San Joaquin Imaging
- Diagnostic Radiology Physician
- Porterville, CA
National Provider Identifier
1497185599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SAN JOAQUIN IMAGING
- Practice address
- 1107 W Poplar Ave
Porterville, CA 93257-5839 - Phone
- (209) 781-7242
- NPI assigned
- Nov 26, 2013
- 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
- David Wilson
- Title
- Admin
- Phone
- (209) 577-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1107 W Poplar Ave
Porterville, CA 93257-5839
Mailing address
4536 Broadway Unit 906
Salida, CA 95368-2037
Phone (209) 577-9900
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Diagnostic Radiology Physician
- Visalia, CA
- NPI 1821234899
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554076800000",
"number": "1497185599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4536 BROADWAY UNIT 906",
"city": "SALIDA",
"state": "CA",
"postal_code": "953682037",
"telephone_number": "209-577-9900",
"fax_number": "209-577-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 W POPLAR AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932575839",
"telephone_number": "209-781-7242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN JOAQUIN IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-26",
"last_updated": "2019-04-01",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "209-577-9900"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Porterville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.