Modern Nuclear, Inc.

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

License

RAML 5179-30 Issued in CA

Legal business name

MODERN NUCLEAR, INC.

Practice address

511 S Harbor Blvd
BLDG E
La Habra, CA 90631-9375

Phone

(562) 905-2244

Fax

(562) 905-2024

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick James Laverty, C.N.M.T., R.S.O.

Title

C.E.O.

Phone

(562) 905-2244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Modern Nuclear, Inc.

  • Nuclear Medicine Technology Radiologic Technologist
  • La Habra, CA
  • NPI 1063851335

  6305851650

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Modern Nuclear, Inc.

  • Nuclear Medicine Technology Radiologic Technologist
  • La Habra, CA
  • NPI 1063851335

  O20130416000652

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed W Bokhari, M. D.

  • Interventional Cardiology Physician
  • Riverside, CA
  • NPI 1619918943
  NPD
• George A Ponce Sr., M.D.

  • Cardiovascular Disease Physician
  • Moreno Valley, CA
  • NPI 1174554935
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1659394047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S HARBOR BLVD",
            "address_2": "BLDG E",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319375",
            "telephone_number": "562-905-2244",
            "fax_number": "562-905-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S HARBOR BLVD",
            "address_2": "BLDG E",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319375",
            "telephone_number": "562-905-2244",
            "fax_number": "562-905-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN NUCLEAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "LAVERTY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "562-905-2244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.N.M.T., R.S.O."
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "CA",
            "license": "RAML 5179-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in La Habra, CA
• Providers in La Habra, CA by specialty
• Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.