Presidio Diagnostics LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PRESIDIO DIAGNOSTICS LLC

Doing business as

Pacific Mobile Diagnostics
Pacific Mobile Diagnostics of San Diego

Practice address

7925 Silverton Ave Ste 503
San Diego, CA 92126-6350

Phone

(951) 529-6768

NPI assigned

Jul 22, 2025

Last updated

Jul 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tangina R Maloof

Title

Treasurer

Phone

(469) 636-5055

Specialties & licenses 1

Addresses

Other names 2

• Pacific Mobile Diagnostics Doing business as
• Pacific Mobile Diagnostics of San Diego Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Pacific Mobile Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Presidio Diagnostics LLC

  dba Pacific Mobile Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • San Diego, CA
  • NPI 1386539203
  NPD tax ID

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.

• Linda L Lau, MB, BCH, MD

  • Diagnostic Radiology Physician
  • Jackson, MS
  • NPI 1912005687
  NPD

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1679455596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W BROADWAY RD STE 155",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 SILVERTON AVE STE 503",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266350",
            "telephone_number": "951-529-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESIDIO DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "MALOOF",
        "authorized_official_first_name": "TANGINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "469-636-5055"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Mobile Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Mobile Diagnostics of San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Prentice
• Elise C Prepetit
• Prescribed Oxygen Inc
• Asaf Presente, M.D.,PH.D.
• Presidio Diagnostics LLC (Pacific Mobile Diagnostics)
• Presidio Medical Group Inc
• Presioca Duval Services, LLC
• Catalina Peters Preskill, MD
• David Benjamin Preskill, MD
• Dena Presotto, SLP

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Diego, CA
• Providers in San Diego, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.