Organization Active NPI

So Cal Image Centers Inc

  • Cardiology Technician
  • San Jacinto, CA
National Provider Identifier
1629387105
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
License
G88008 Issued in CA
Legal business name
SO CAL IMAGE CENTERS INC
Practice address
1695 S San Jacinto Ave
Suite N
San Jacinto, CA 92583-5103
Phone
(951) 487-6199
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Dr. Peter Katsiyiannis, MD,FSCAI
Title
Partner
Phone
(951) 487-6199

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G88008 CA
Cardiology TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246W00000X G88008 CA Primary

Addresses

Primary practice location

1695 S San Jacinto Ave
Suite N
San Jacinto, CA 92583-5103

Mailing address

1695 S San Jacinto Ave
Suite N
San Jacinto, CA 92583-5103
Phone (951) 487-6199

National Provider Directory

National Provider Directory

Locations

1695 S San Jacinto Ave
Ste N
San Jacinto, CA 92583
Phone (951) 302-0606

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1629387105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE",
            "address_2": "SUITE N",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-487-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE",
            "address_2": "SUITE N",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-487-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO CAL IMAGE CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "KATSIYIANNIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-487-6199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,FSCAI"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G88008",
            "primary": false
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": "CA",
            "license": "G88008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.