NPIMap

Organization Active NPI

Medx Inc

  • Radiology Clinic/Center
  • Manhattan Beach, CA
National Provider Identifier
1609220185
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
G63862 Issued in CA
Legal business name
MEDX INC
Practice address
2711 N Sepulveda Blvd # 284
Manhattan Beach, CA 90266-2725
Phone
(310) 546-6033
NPI assigned
Apr 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Alyssa Watanabe, MD
Title
Ceo
Phone
(310) 546-6033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X G63862 CA Primary

Addresses

Primary practice location

2711 N Sepulveda Blvd # 284
Manhattan Beach, CA 90266-2725

Mailing address

2711 N Sepulveda Blvd # 284
Manhattan Beach, CA 90266-2725
Phone (310) 546-6033

National Provider Directory

National Provider Directory
Tax ID family
Medx-Imaging Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1609220185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N SEPULVEDA BLVD # 284",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662725",
            "telephone_number": "310-546-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N SEPULVEDA BLVD # 284",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662725",
            "telephone_number": "310-546-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-546-6033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "G63862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.