Active NPI
Orange County Diagnostic Radiology, Inc.
Doing business as Orange County MRI
- Specialist
- Fountain Valley, CA
National Provider Identifier
1720016728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7128-30
- Legal business name
- ORANGE COUNTY DIAGNOSTIC RADIOLOGY, INC.
- Doing business as
- Orange County MRI
- Practice address
- 17150 Euclid Street
Suite 101
Fountain Valley, CA 92708-4092 - Phone
- (714) 957-0317
- Fax
- (714) 957-0616
- NPI assigned
- Jun 29, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Jagtinder Singh Dang
- Title
- Ceo
- Phone
- (714) 957-0317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7128-30 | CA | Primary |
Addresses
Primary practice location
17150 Euclid Street
Suite 101
Fountain Valley, CA 92708-4092
Mailing address
17150 Euclid Street
Suite 101
Fountain Valley, CA 92708-4092
Phone (714) 957-0317
Other names 1
- Orange County MRI
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050729000994 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7315850690 | Practice locations: Fountain Valley, CA |
National Provider Directory
National Provider DirectoryLocations
17150 Euclid St
Ste 101
Fountain Vly, CA 92708
Phone (714) 957-0317
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Diagnostic Radiology Physician
- Aliso Viejo, CA
- NPI 1891775367
-
- Nuclear Medicine Physician
- Fountain Valley, CA
- NPI 1093884538
-
- Diagnostic Radiology Physician
- Bay Village, OH
- NPI 1750386975
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720016728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17150 EUCLID STREET",
"address_2": "SUITE 101",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084092",
"telephone_number": "714-957-0317",
"fax_number": "714-957-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17150 EUCLID STREET",
"address_2": "SUITE 101",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084092",
"telephone_number": "714-957-0317",
"fax_number": "714-957-0616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGE COUNTY DIAGNOSTIC RADIOLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DANG",
"authorized_official_first_name": "JAGTINDER",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-957-0317",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "7128-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orange County MRI",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fountain Valley, CA
- Orange Coast Memorial Medical Center
- Orange Coast Psychological Associates, P.C.
- Orange Coast Radiation Oncology Medical Group
- Orange County Cardio Center, Inc
- Orange County Caregivers, Inc. (Senior Helpers Costa Mesa)
- Orange County Digestive Care Inc
- Orange County Physical Medicine Group, a Professional Corp.
- Orange County Respiratory Physicians Corp
- Orange County Vascular & Endovascular Surgery Center, Inc.
- Kimberly Ann Orin, MOT, OTR/L
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.