Active NPI
Prime MRI Center, Inc
Doing business as top diagnostic
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Garden Grove, CA
National Provider Identifier
1508453101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- PRIME MRI CENTER, INC
- Doing business as
- top diagnostic
- Practice address
- 9825 Garden Grove Blvd
Garden Grove, CA 92844-1616 - Phone
- (714) 766-5244
- Fax
- (714) 908-7573
- NPI assigned
- Dec 29, 2020
- Last updated
- Jun 1, 2021
- 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
- Michael Sheng
- Title
- Ceo
- Phone
- (714) 766-5244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | NU | Primary |
Addresses
Primary practice location
9825 Garden Grove Blvd
Garden Grove, CA 92844-1616
Mailing address
9825 Garden Grove Blvd
Garden Grove, CA 92844-1616
Phone (714) 766-5244
Other names 1
- top diagnostic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210524001566 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7113326174 | Practice locations: Garden Grove, CA |
National Provider Directory
National Provider DirectoryLocations
9825 Garden Grove Blvd
Garden Grove, CA 92844
Phone (714) 766-5244
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1184814006
-
- Technician/Technologist
- Garden Grove, CA
- NPI 1467306134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622505600000",
"number": "1508453101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441616",
"telephone_number": "714-766-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441616",
"telephone_number": "714-766-5244",
"fax_number": "714-908-7573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME MRI CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-29",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "SHENG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-766-5244"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "top diagnostic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garden Grove, CA
- Jonathan Price
- Shyann Price
- Prime Healthcare Services - Garden Grove LLC (Garden Grove Hospital Medical Center)
- Prime Healthcare Services - Garden Grove LLC (Garden Grove Hospital Medical Center)
- Prime Healthcare Services - Garden Grove LLC (Garden Grove Hospital & Medical Center)
- Prime Physical Therapy Corp
- Bernadette Prince, M.S. CCC-SLP
- Kevin Prince, B.A.
- Brittany Prior
- Pro Foot and Ankle Clinic.Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.