Organization Active NPI

Mars Healthcare Inc

  • Diagnostic Radiology Physician
  • Anaheim, CA
National Provider Identifier
1497296156
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C54373 Issued in CA
Legal business name
MARS HEALTHCARE INC
Practice address
1924 N Canyon Cir
Anaheim, CA 92807-1208
Phone
(714) 480-0300
Fax
(888) 532-7989
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Amjad Ali Safvi, MD
Title
Owner
Phone
(630) 650-0580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X C54373 CA Primary

Addresses

Primary practice location

1924 N Canyon Cir
Anaheim, CA 92807-1208

Mailing address

1440 S Villa Ave
Villa Park, IL 60181-3405
Phone (630) 650-0580

Other identifiers 1

IdentifierTypeStateIssuer
C54373OtherCASTATE MEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1497296156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S VILLA AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813405",
            "telephone_number": "630-650-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 N CANYON CIR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071208",
            "telephone_number": "714-480-0300",
            "fax_number": "888-532-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "SAFVI",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-650-0580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C54373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "C54373",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.