Gregg Owens, RADIOLOGIC TECHNOLOG

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

45043 Issued in CA

Practice address

VA Hospital Loma Linda 11201 Benton St
Loma Linda, CA 92357-0001

Phone

(909) 825-7084

NPI assigned

Jan 12, 2023

Last updated

Jan 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1578277638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11284 BELLAIRE ST APT 9",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543000",
            "telephone_number": "909-800-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA HOSPITAL LOMA LINDA 11201 BENTON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923570001",
            "telephone_number": "909-825-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "GREGG",
        "name_prefix": "Mr.",
        "credential": "RADIOLOGIC TECHNOLOG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "45043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry William Ou, M.D.
• Aislyn Oulee, MD
• Evelyn A Ouro-Rodrigues
• Isaac David Overfield
• Davidson Owan, MSCP
• Andrew G. Pachon, MD, MPA
• Franco Padilla, ASW
• Joshua Padilla, DO
• Oscar Padilla, MD
• Tracey S. Pae, C.P.N.P.

• Diagnostic Radiology Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.