Individual provider Active NPI

Allen B Nalbandian, M.D.

  • Diagnostic Radiology Physician
  • Escondido, CA
National Provider Identifier
1619938099
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A54742 Issued in CA
Practice address
488 E Valley Pkwy
Suite 100
Escondido, CA 92025-3363
Phone
(858) 554-2626
NPI assigned
Mar 28, 2006
Last updated
Nov 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A54742 CA Primary

Addresses

Primary practice location

488 E Valley Pkwy
Suite 100
Escondido, CA 92025-3363

Mailing address

PO Box 462750
Escondido, CA 92046-2750

Other identifiers 1

IdentifierTypeStateIssuer
00A547420MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070831000320 CA Practitioner - Diagnostic Radiology 1355434648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Radiology Consultants Medical Group IncGroup PAC ID 4688572639, 8 clinicians

Practice addresses (Care Compare)

225 E 2ND Ave
Suite 104
Escondido, CA 92025-4212
Phone (858) 815-2550

255 N Elm St
Suite 102
Escondido, CA 92025-3431
Phone (760) 520-8500

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54742CAMDPharmacist
A54742CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Radiology Consultants Medical Group, Inc Diagnostic Radiology CurrentSince May 1, 2007 Accepting new patients
Valley Radiology Consultants Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Palms Imaging Medical Group Diagnostic Radiology CurrentSince Apr 20, 2010 Accepting new patients
Imaging Consultants, Inc. Diagnostic Radiology PastSince Jul 27, 2009 Accepting new patients
Escondido Imaging Center Past Accepting new patients
Fully Open MRI of Rancho Bernardo LLC Dba Pomerado Imaging Past Accepting new patients

Locations

225 E 2nd Ave
Ste 104
Escondido, CA 92025
Phone (858) 815-2550

255 N Elm St
Ste 102
Escondido, CA 92025
Phone (760) 743-3873

355 E Grand Ave
Ste 3
Escondido, CA 92025
Phone (760) 480-6519

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

1901 Outlet Center Dr
Ste 120
Oxnard, CA 93036
Phone (805) 357-0067

15644 Pomerado Rd
Ste 300
Poway, CA 92064
Phone (760) 739-7666

15725 Pomerado Rd
Ste 101
Poway, CA 92064

15725 Pomerado Rd
Ste 109
Poway, CA 92064
Phone (858) 485-6094

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1619938099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462750",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920462750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY",
            "address_2": "SUITE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253363",
            "telephone_number": "858-554-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALBANDIAN",
        "first_name": "ALLEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A54742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A547420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.