Organization Active NPI

Socal Radiology LLC

Doing business as Southern California Radiology

  • Radiology Clinic/Center
  • Riverside, CA
National Provider Identifier
1528485745
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SOCAL RADIOLOGY LLC
Doing business as
Southern California Radiology
Practice address
6276 River Crest Dr Ste D
Riverside, CA 92507-0754
Phone
(888) 480-9996
Fax
(888) 977-1780
NPI assigned
Mar 26, 2014
Last updated
Jun 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Shobi ZaidiNPI 1073707253
Title
President
Phone
(888) 480-9996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Diagnostic Radiology Physician 2085R0202X

Addresses

Primary practice location

6276 River Crest Dr Ste D
Riverside, CA 92507-0754

Mailing address

12523 Limonite Ave # 440-353
Eastvale, CA 91752-3665

Other practice location 1

12523 Limonite Ave # 440-353
Eastvale, CA 91752-3665
Phone (888) 480-9996

Other names 1

  • Southern California Radiology Doing business as

National Provider Directory

National Provider Directory

Locations

12523 Limonite Ave
#440353
Eastvale, CA 91752
Phone (888) 480-9996

Practitioners & affiliated clinicians

Practitioners 1

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": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1528485745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 LIMONITE AVE # 440-353",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917523665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 RIVER CREST DR STE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070754",
            "telephone_number": "888-480-9996",
            "fax_number": "888-977-1780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12523 Limonite Ave # 440-353",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "917523665",
            "country_code": "US",
            "telephone_number": "888-480-9996",
            "fax_number": "888-977-1780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCAL RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "ZAIDI",
        "authorized_official_first_name": "SHOBI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-480-9996"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern California Radiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern California Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.