Organization Active NPI

Orange County Diagnostic Radiology, Inc.

Doing business as Orange County MRI

  • Specialist
  • Fountain Valley, CA
National Provider Identifier
1720016728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7128-30 Issued in CA
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, 2020By the provider in NPPES
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. Jagtinder Singh Dang
Title
Ceo
Phone
(714) 957-0317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050729000994 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7315850690 Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.