Organization Active NPI

First Choice Mobile Radiology Service LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Placentia, CA
National Provider Identifier
1578637369
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
RHT 68902 Issued in CA
Legal business name
FIRST CHOICE MOBILE RADIOLOGY SERVICE LLC
Practice address
181 W Orangethorpe Ave Ste B
Placentia, CA 92870-6931
Phone
(714) 798-9886
Fax
(626) 771-3250
NPI assigned
Nov 20, 2006
Last updated
Apr 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Mr. Kurt D. StewartNPI 1770640476
Title
President
Phone
(714) 798-9886

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)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X RHT 68902 CA Primary

Addresses

Primary practice location

181 W Orangethorpe Ave Ste B
Placentia, CA 92870-6931

Mailing address

181 W Orangethorpe Ave Ste B
Placentia, CA 92870-6931
Phone (714) 798-9886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070622000582 CA Part B Supplier - Portable X-Ray Supplier 8628177169 Practice locations: Corona, CA
O20190522002039 CA Part B Supplier - Portable X-Ray Supplier 8628177169 Practice locations: Placentia, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578637369. Details of each certification follow.

Portable X-ray supplier certification: CCN 05X0010022

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FIRST CHOICE MOBILE RADIOLOGY SERVICE
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
May 21, 2007
Last certification
Aug 28, 2025
Ownership / control type
Partnership
Facility address
181 W Orangethorpe Ave, Suite B (RHB 65224)
Placentia, CA 92870

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
First Choice Mobile Radiology Service LLC2 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.

Locations

4740 Green River Rd
Ste 112
Corona, CA 92878
Phone (626) 331-8637

181 W Orangethorpe Ave
Ste B
Placentia, CA 92870
Phone (626) 339-9039

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1578637369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W ORANGETHORPE AVE STE B",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706931",
            "telephone_number": "714-798-9886",
            "fax_number": "626-771-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W ORANGETHORPE AVE STE B",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706931",
            "telephone_number": "714-798-9886",
            "fax_number": "626-771-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE MOBILE RADIOLOGY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-798-9886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "CA",
            "license": "RHT 68902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.