SCV Mobile Xray LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

SCV MOBILE XRAY LLC

Practice address

861 Brossard Dr
Thousand Oaks, CA 91360-5928

Phone

(661) 713-7407

NPI assigned

Aug 25, 2021

Organization subpart

No

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

Authorized official

Name

Thomas Clifford CoxNPI 1477220994

Title

Owner

Phone

(661) 713-7407

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Portable X-ray supplier certification: CCN 05X0010070

Legal name

SCV MOBILE X-RAY LLC/THOMAS COX

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jan 19, 2022

Last certification

Jan 23, 2023

Ownership / control type

Corporation

Facility address

861 Brossard Dr
Thousand Oaks, CA 91360

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Cox

  • Radiography Radiologic Technologist
  • Canyon Country, CA
  • NPI 1477220994
  NPD Authorized official

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1508533795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 BROSSARD DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605928",
            "telephone_number": "661-713-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 BROSSARD DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605928",
            "telephone_number": "661-713-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCV MOBILE XRAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-02-02",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-713-7407"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.