South Bay Premier MRI LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

SOUTH BAY PREMIER MRI LLC

Practice address

28633 S Western Ave Ste 200
Rancho Palos Verdes, CA 90275-0817

Phone

(310) 339-9620

Fax

(310) 548-5050

NPI assigned

Oct 2, 2025

Last updated

Jan 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Joshua Ursich Jr.NPI 1518392521

Title

Owner

Phone

(310) 339-9620

Specialties & licenses 1

Addresses

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.

• Timothy Joshua Ursich, DC

  • Chiropractor
  • Rancho Palos Verdes, CA
  • NPI 1518392521
  Authorized official Same address or phone

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1528932423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28633 S WESTERN AVE STE 200",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28633 S WESTERN AVE STE 200",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750817",
            "telephone_number": "310-339-9620",
            "fax_number": "310-548-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY PREMIER MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "URSICH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-339-9620",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meng Shen
• Victoria A. Shook, D.D.S.
• Simon Therapy California a Licesnsed Clinical Social Worker Professional Corporation
• Jan Feingold Simon, LCSW
• Mina Solhjou, PHARMD
• Kimxa Stark
• Canybec Sulayman, NP
• Staysea Sumner, L.AC. PHD
• Kim Naomi Swanson, RBT
• Gregory Steven Tardaguila, D.C.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.