Active NPI
Inland Imaging Services
- Radiologic Technologist
- Norwalk, CA
National Provider Identifier
1639363856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 05CO1119
- Legal business name
- INLAND IMAGING SERVICES
- Practice address
- 13330 Bloomfield Ave
Suite 114
Norwalk, CA 90650-3251 - Phone
- (562) 674-2911
- Fax
- (562) 674-2917
- NPI assigned
- Aug 30, 2007
- Last updated
- Aug 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leo Baca, RPA
- Title
- President
- Phone
- (303) 944-3764
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 05CO1119 | CA | Primary |
Addresses
Primary practice location
13330 Bloomfield Ave
Suite 114
Norwalk, CA 90650-3251
Mailing address
29822 Sea Breeze Way
Menifee, CA 92584-7981
Phone (303) 944-3764
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiology Practitioner Assistant
- Murrieta, CA
- NPI 1295492957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188432000000",
"number": "1639363856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29822 SEA BREEZE WAY",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925847981",
"telephone_number": "303-944-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13330 BLOOMFIELD AVE",
"address_2": "SUITE 114",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503251",
"telephone_number": "562-674-2911",
"fax_number": "562-674-2917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INLAND IMAGING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-30",
"last_updated": "2007-08-30",
"status": "A",
"authorized_official_last_name": "BACA",
"authorized_official_first_name": "LEO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-944-3764",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RPA"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "05CO1119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.