On-Line Radiology Medical Group Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ON-LINE RADIOLOGY MEDICAL GROUP INC

Practice address

1770 Iowa Ave
Suite 280
Riverside, CA 92507-2430

Phone

(800) 848-5876

Fax

(855) 226-5960

NPI assigned

Mar 20, 2008

Last updated

Dec 5, 2018By 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

Dr. Samuel Salen, MDNPI 1629073804

Title

Director

Phone

(951) 786-0801

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, IL, NM, OH, VA, GA, TX, MA, FL, NV, MO, TN, MI, SC, KS, AZ, MS, DC, VI, CO, NY, PA, WA, MD, PR, HI, KY, WI, NJ29 enrollments

Enrollment records 29

Other NPIs on the same Medicare enrollment 9

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

• On-Line Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Murrieta, CA
  • NPI 1790189389

  O20100113000708

  Same enrollment
• Online Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Mill Valley, CA
  • NPI 1134525181

  O20100113000708

  Same enrollment
• Online Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • San Clemente, CA
  • NPI 1235535220

  O20100113000708

  Same enrollment
• Online Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • El Centro, CA
  • NPI 1346646353

  O20100113000708

  Same enrollment
• Online Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Temecula, CA
  • NPI 1538565593

  O20100113000708

  Same enrollment
• Online Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Irvine, CA
  • NPI 1699171678

  O20100113000708

  Same enrollment
• Online Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Chico, CA
  • NPI 1750787719

  O20100113000708

  Same enrollment
• Online Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Corona del Mar, CA
  • NPI 1952707952

  O20100113000708

  Same enrollment
• Onlne Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Corona del Mar, CA
  • NPI 1417353426

  O20100113000708

  Same enrollment

Locations

Practitioners 137

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.

• David Ishimitsu, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1497919641
  Medicare reassignment Care Compare group NPD
• Kourosh Naeini

  • Diagnostic Radiology Physician
  • Santa Monica, CA
  • NPI 1366836553
  Medicare reassignment Care Compare group NPD
• David Philip Reiner, M.D.

  • Neuroradiology Physician
  • West Hollywood, CA
  • NPI 1174572572

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Faranak Sadri Tafazoli, M.D.

  • Diagnostic Radiology Physician
  • Woodland Hills, CA
  • NPI 1790717221
  Medicare reassignment Care Compare group NPD
• Laura Allen, M.D.

  • Diagnostic Radiology Physician
  • Key Largo, FL
  • NPI 1447576228
  Medicare reassignment Care Compare group NPD
• Tse Anyu, DO

  • Neuroradiology Physician
  • South Miami, FL
  • NPI 1417490301

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• James Edward Beckett, M.D.

  • Diagnostic Radiology Physician
  • Oak Lawn, IL
  • NPI 1992704381
  Medicare reassignment Care Compare group NPD
• Michael Joseph Benanti, DO

  • Diagnostic Radiology Physician
  • Rockford, IL
  • NPI 1619945342

  NY

  Medicare reassignment Care Compare group NPD
• Anthony B Bullard, MD

  • Diagnostic Radiology Physician
  • Grand Junction, CO
  • NPI 1376590927

  AZ

  Medicare reassignment Care Compare group NPD
• Ashley Marie Caleel, D.O.

  • Diagnostic Radiology Physician
  • Grayslake, IL
  • NPI 1578714044
  Medicare reassignment Care Compare group NPD
• James Chatham Jr., M.D.

  • Diagnostic Radiology Physician
  • Rockford, IL
  • NPI 1629130141

  FL

  Medicare reassignment Care Compare group NPD
• James Ivan Collins, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1366429383
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1710158498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5594",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975594",
            "telephone_number": "866-509-8452",
            "fax_number": "508-273-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 IOWA AVE",
            "address_2": "SUITE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072430",
            "telephone_number": "800-848-5876",
            "fax_number": "855-226-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-LINE RADIOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "SALEN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-786-0801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Ommanney
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• Michelle Chiemi Omura, M.D.
• On Time Medical Transport
• Anthony On
• Danielle Onasch
• One Care Pharmacy LLC (One Care Infusion Pharmacy)
• One Stop Multi-Specialty Medical Group & Therapy, Inc.
• Jean Bernadette U Ong Kian Koc, M.D.

• Diagnostic Radiology Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.