St Johns Regional Imaging Center LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ST JOHNS REGIONAL IMAGING CENTER LLC

Practice address

1700 N Rose Ave
Mobile Unit
Oxnard, CA 93030-3790

Phone

(805) 983-0883

Fax

(805) 983-1029

NPI assigned

Jan 7, 2008

Last updated

Jan 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian G Drazba

Title

Senior VP & Chief Accounting Officr

Phone

(949) 282-6000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1598940728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57174",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "MOBILE UNIT",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303790",
            "telephone_number": "805-983-0883",
            "fax_number": "805-983-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS REGIONAL IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "DRAZBA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SENIOR VP & CHIEF ACCOUNTING OFFICR",
        "authorized_official_telephone_number": "949-282-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy H Springer
• Shenalle Letrice Squires
• John Joseph Sramek, PHARM.D.
• SSG Anesthesia Inc (Saralee Glaser, CRNA Anesthesia Services Inc.)
• St Johns Regional Imaging Center LLC
• St Nazarene Medical Clinic Inc
• St Thomas Aquinas Home
• St. John's Outpatient Surgery Center, LP (St. John's Outpatient Surgery Center)
• John Sta Maria
• Sharon R Staber, LMFT, APPC

• Physiological Laboratory in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.