NPIMap

Organization Active NPI

Online Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Riverside, CA
National Provider Identifier
1538566104
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G37314 Issued in CA
Legal business name
ONLINE RADIOLOGY MEDICAL GROUP, INC.
Practice address
1770 Iowa Ave
280
Riverside, CA 92507-2430
Phone
(951) 786-0801
NPI assigned
Nov 26, 2014
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Samuel Salen
Title
Cfo
Phone
(951) 786-0801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X G37314 CA Primary

Addresses

Primary practice location

1770 Iowa Ave
280
Riverside, CA 92507-2430

Mailing address

12700 Centerville Rd
Chico, CA 95928-8328
Phone (530) 895-0926

National Provider Directory

National Provider Directory
Tax ID family
On-Line Radiology Medical Group Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1538566104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 CENTERVILLE RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288328",
            "telephone_number": "530-895-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 IOWA AVE",
            "address_2": "280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072430",
            "telephone_number": "951-786-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONLINE RADIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "SALEN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-786-0801"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G37314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 26, 2014; 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.