Crown Valley Radiologists Inc a Professional Medical Corp

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CROWN VALLEY RADIOLOGISTS INC A PROFESSIONAL MEDICAL CORP

Practice address

27401 Los Altos Ste 150
Mission Viejo, CA 92691-8013

Phone

(949) 367-1010

Fax

(949) 367-1011

NPI assigned

Apr 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Talal Beydoun, MDNPI 1396751384

Title

Medical Director

Phone

(949) 367-1010

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Crown Valley Imaging2 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.

• Crown Valley Radiologist

  • Radiology Clinic/Center
  • Mission Viejo, CA
  • NPI 1538566237
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Talal Beydoun, MD

  • Diagnostic Radiology Physician
  • Mission Viejo, CA
  • NPI 1396751384

  Neuroradiology

  Medicare reassignment Care Compare group NPD Authorized official
• Alireza Sedaghat Namini, M.D.

  • Neuroradiology Physician
  • Van Nuys, CA
  • NPI 1124331095
  Medicare reassignment Care Compare group NPD
• Tan Ba Nguyen, M.D.

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1053668608
  Medicare reassignment Care Compare group NPD
• James Reza Farroknejad Fernandez, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
  • NPI 1083959142

  CA

  Medicare reassignment Care Compare group NPD
• Scott Andrew Wilson-Flewelling, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1235623612

  CA

  Medicare reassignment Care Compare group NPD
• Frank Joseph Kosarek, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1427017284

  CA

  Medicare reassignment NPD
• Michael Edward Stadnick, MD

  • Diagnostic Radiology Physician
  • Brentwood, TN
  • NPI 1457320442

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1720042062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918013",
            "telephone_number": "949-367-1010",
            "fax_number": "949-367-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918013",
            "telephone_number": "949-367-1010",
            "fax_number": "949-367-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Birch St Unit C",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601990",
            "country_code": "US",
            "telephone_number": "949-367-1010",
            "fax_number": "949-367-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROWN VALLEY RADIOLOGISTS INC A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "TALAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-367-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Crow
• Erica Crowell, PPS
• Crown Valley Internal Medical Group
• Crown Valley Outpatient Surgical Center LLC
• Crown Valley Radiologist
• Crown Valley Surgery Center
• Cruz-Hoppe Dental Corporation
• Vanessa Gabriela Cruz, D.D.S.
• Katalin Csoka, MD, PHD, L.AC
• Bennett Cua, M.D.

• Radiology Clinic/Center in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.