Active NPI
Diagnostic Imaging and Dynamics, LLC
- Magnetic Resonance Imaging Radiologic Technologist
- San Pedro, CA
National Provider Identifier
1568748838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- License
- A
- Legal business name
- DIAGNOSTIC IMAGING AND DYNAMICS, LLC
- Practice address
- 787 W 9TH St
San Pedro, CA 90731-3601 - Phone
- (310) 832-0258
- Fax
- (310) 833-9832
- NPI assigned
- Oct 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phillip Edward Schoenwetter, M. D.
- Title
- President
- Phone
- (310) 832-0258
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | A | CA | Primary |
Addresses
Primary practice location
787 W 9TH St
San Pedro, CA 90731-3601
Mailing address
787 W 9TH St
San Pedro, CA 90731-3601
Phone (310) 832-0258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700958667 | Other | CA | NPI |
| 1114241932 | Other | CA | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- San Pedro, CA
- NPI 1700958667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1568748838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "787 W 9TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313601",
"telephone_number": "310-832-0258",
"fax_number": "310-833-9832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 W 9TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313601",
"telephone_number": "310-832-0258",
"fax_number": "310-833-9832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC IMAGING AND DYNAMICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A",
"authorized_official_last_name": "SCHOENWETTER",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-832-0258",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "2471M1202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "CA",
"license": "A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1700958667",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1114241932",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.