Organization Active NPI

Ramona Medical Diagnostic Services Inc

  • Physiological Laboratory
  • Ramona, CA
National Provider Identifier
1699717496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
RAMONA MEDICAL DIAGNOSTIC SERVICES INC
Practice address
1516 Main St
103
Ramona, CA 92065-5242
Phone
(760) 789-6118
Fax
(760) 788-2068
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Fraley
Title
Ceo
Phone
(760) 789-6118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1516 Main St
103
Ramona, CA 92065-5242

Mailing address

1516 Main St
103
Ramona, CA 92065
Phone (760) 789-6118

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699717496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 MAIN ST",
            "address_2": "103",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "92065",
            "telephone_number": "760-789-6118",
            "fax_number": "760-788-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 MAIN ST",
            "address_2": "103",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655242",
            "telephone_number": "760-789-6118",
            "fax_number": "760-788-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMONA MEDICAL DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-789-6118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ramona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.