Cynthia Kingery

Primary specialty

Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X

License

45265 Issued in CA

Legal business name

CYNTHIA KINGERY

Practice address

31368 Flying Cloud Dr
Laguna Niguel, CA 92677-2717

Phone

(949) 464-9263

Fax

(951) 272-9924

NPI assigned

Jan 29, 2008

Last updated

Sep 15, 2014By 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

Cnythia Kingery, R.T.

Title

Owner/President

Phone

(951) 278-5590

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 2

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.

• Cynthia Kingery, R.T.

  • Mammography Radiologic Technologist
  • Laguna Beach, CA
  • NPI 1801072301
  NPD (past)
• Alexander S. Lin, M.D.

  • Diagnostic Radiology Physician
  • Santa Ana, CA
  • NPI 1952314601
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1730366048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 OLYMPIC DR",
            "address_2": "SUITE 108",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813393",
            "telephone_number": "951-278-5590",
            "fax_number": "951-272-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31368 FLYING CLOUD DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772717",
            "telephone_number": "949-464-9263",
            "fax_number": "951-272-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA KINGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "KINGERY",
        "authorized_official_first_name": "CNYTHIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "951-278-5590",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": "CA",
            "license": "45265",
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH SERVICES",
            "identifier": "45265",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA",
            "identifier": "130682",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Frances Cullen, DPT
• Cure Med Pharmacy LLC (Cure Med Pharmacy)
• Cort Curtis, PH.D.
• CVS Pharmacy
• Anne Cynn
• Anthony Joseph D'Addario, D.D.S.
• Maria Zanita D'Urso Combs, PT
• Michael Dacosta
• Ryan Everett Dalusag, LCSW
• Damian L. Newhart DDS, Inc (Newhart Orthodontics)

• Clinic/Center in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.