Organization Active NPI

Mission Imaging Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Colton, CA
National Provider Identifier
1598190589
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
MISSION IMAGING INC
Practice address
900 E Washington St
Suite 150
Colton, CA 92324-7111
Phone
(909) 370-0300
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Jiensup Kim, MD
Title
President
Phone
(909) 370-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X CA Primary

Addresses

Primary practice location

900 E Washington St
Suite 150
Colton, CA 92324-7111

Mailing address

900 E Washington St
Suite 150
Colton, CA 92324-7111
Phone (909) 370-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160104002089 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3779885090 Practice locations: Colton, CA

National Provider Directory

National Provider Directory

Locations

900 E Washington St
Ste 150
Colton, CA 92324
Phone (909) 433-0575

Practitioners & affiliated clinicians

Practitioners 1

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": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1598190589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST",
            "address_2": "SUITE 150",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923247111",
            "telephone_number": "909-370-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST",
            "address_2": "SUITE 150",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923247111",
            "telephone_number": "909-370-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIENSUP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-370-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.