Organization Active NPI

Bluebeam Radiology PC

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1508184334
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A92712 Issued in CA
Legal business name
BLUEBEAM RADIOLOGY PC
Practice address
3902 El Cajon Blvd Ste a
San Diego, CA 92105-1016
Phone
(800) 922-6151
NPI assigned
May 4, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Vikram M Hatti, M.D.NPI 1447202460
Title
President
Phone
(800) 922-6151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A92712 CA Primary

Addresses

Primary practice location

3902 El Cajon Blvd Ste a
San Diego, CA 92105-1016

Mailing address

PO Box 10662
Fullerton, CA 92838-6662
Phone (800) 922-6151

Other identifiers 1

IdentifierTypeStateIssuer
EK119AOtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

500 N State College Blvd
#11
Orange, CA 92868

24335 Prielipp Rd
Ste 119
Wildomar, CA 92595
Phone (714) 919-4342

Practitioners & affiliated clinicians

Practitioners 3

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": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508184334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10662",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928386662",
            "telephone_number": "800-922-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 EL CAJON BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051016",
            "telephone_number": "800-922-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBEAM RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HATTI",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-922-6151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A92712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EK119A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.