Oc Diagnostic Imaging

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

2085U0001X Issued in CA

Legal business name

OC DIAGNOSTIC IMAGING

Practice address

31 Rosa
Rancho Santa Margarita, CA 92988

Phone

(949) 394-9297

Fax

(949) 459-1247

NPI assigned

Jul 23, 2007

Last updated

Jul 23, 2007By 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

Jason Rosete

Title

Owner

Phone

(949) 394-9297

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1598965964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROSA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "92988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROSA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "92988",
            "telephone_number": "949-394-9297",
            "fax_number": "949-459-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "ROSETE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-394-9297"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "CA",
            "license": "2085U0001X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.