Active NPI
South Bay X-Ray
- Mobile Radiology Clinic/Center
- Compton, CA
National Provider Identifier
1720730633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- SOUTH BAY X-RAY
- Practice address
- 1029 S Harlan Ave
Compton, CA 90220-4215 - Phone
- (310) 989-1677
- NPI assigned
- Jan 21, 2022
- 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. Jose A Vasconez, R.T (R)
- Title
- Owner
- Phone
- (310) 989-1677
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
1029 S Harlan Ave
Compton, CA 90220-4215
Mailing address
1029 S Harlan Ave
Compton, CA 90220-4215
Phone (310) 989-1677
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiologic Technologist
- Compton, CA
- NPI 1780079582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1720730633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 S HARLAN AVE",
"city": "COMPTON",
"state": "CA",
"postal_code": "902204215",
"telephone_number": "310-989-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 S HARLAN AVE",
"city": "COMPTON",
"state": "CA",
"postal_code": "902204215",
"telephone_number": "310-989-1677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BAY X-RAY",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "VASCONEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-989-1677",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.T (R)"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.