Organization Active NPI

Sdi Mobile Diagnostic Services Inc

  • Radiologic Technologist
  • Bonita, CA
National Provider Identifier
1588764336
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
SDI MOBILE DIAGNOSTIC SERVICES INC
Practice address
4190 Bonita Rd Ste 211
Bonita, CA 91902-1340
Phone
(619) 267-1305
Fax
(619) 267-1389
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Robert M Rizo
Title
President
Phone
(858) 539-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X Primary

Addresses

Primary practice location

4190 Bonita Rd Ste 211
Bonita, CA 91902-1340

Mailing address

4190 Bonita Rd Ste 211
Bonita, CA 91902-1340
Phone (619) 267-1305

National Provider Directory

National Provider Directory

Locations

4190 Bonita Rd
Ste 211
Bonita, CA 91902
Phone (619) 267-1305

2490 Main St
Ste D
Chula Vista, CA 91911
Phone (619) 267-1305

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1588764336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 BONITA RD STE 211",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021340",
            "telephone_number": "619-267-1305",
            "fax_number": "619-267-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 BONITA RD STE 211",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021340",
            "telephone_number": "619-267-1305",
            "fax_number": "619-267-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDI MOBILE DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "RIZO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-539-7300"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.