NPIMap

Organization Active NPI

Crown Valley Radiologist

Doing business as Crown Valley Imaging

  • Radiology Clinic/Center
  • Mission Viejo, CA
National Provider Identifier
1538566237
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
A30556 Issued in CA
Legal business name
CROWN VALLEY RADIOLOGIST
Doing business as
Crown Valley Imaging
Practice address
27401 Los Altos Ste 150
Mission Viejo, CA 92691-8013
Phone
(949) 367-1010
Fax
(949) 367-1011
NPI assigned
Nov 24, 2014
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Dr. Talal Beydoun, MDNPI 1396751384
Title
Medical Director
Phone
(949) 367-1010

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 A30556 CA Primary
Radiology Clinic/Center 261QR0200X A107164 CA

Addresses

Primary practice location

27401 Los Altos Ste 150
Mission Viejo, CA 92691-8013

Mailing address

27401 Los Altos Ste 150
Mission Viejo, CA 92691
Phone (949) 367-1010

Other practice location 1

4501 Birch St Unit C
Newport Beach, CA 92660-1990
Phone (949) 367-1010

Other names 1

  • CROWN VALLEY IMAGING Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crown Valley Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1538566237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-367-1010",
            "fax_number": "949-367-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918013",
            "telephone_number": "949-367-1010",
            "fax_number": "949-367-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Birch St Unit C",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601990",
            "country_code": "US",
            "telephone_number": "949-367-1010",
            "fax_number": "949-367-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROWN VALLEY RADIOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "TALAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-367-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "A30556",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "A107164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROWN VALLEY IMAGING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CROWN VALLEY IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.