Diagnostic Imaging Network Medical Group, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

G43636 Issued in CA

Legal business name

DIAGNOSTIC IMAGING NETWORK MEDICAL GROUP, INC.

Practice address

165 W Hospitality LN
Suite 27
San Bernardino, CA 92408-3334

Phone

(888) 346-3811

Fax

(714) 947-1277

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sim C. Hoffman, M.D.

Title

Medical Director

Phone

(714) 995-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1740384015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W HOSPITALITY LN",
            "address_2": "SUITE 27",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083334",
            "telephone_number": "888-346-3811",
            "fax_number": "714-947-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W HOSPITALITY LN",
            "address_2": "SUITE 27",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083334",
            "telephone_number": "888-346-3811",
            "fax_number": "714-947-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING NETWORK MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "SIM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-995-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "G43636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert V Devore, M.D.
• Dewar Medical Group Inc
• Shanti L Dewar, MD
• Danielle M Dewey
• Sarita Shivakoti Dhakal, FNP
• Jenyfer Diaz Manzano
• Adrian Diaz
• Alejandra Diaz, PSYD
• Alyssa Diaz
• Amber Rose Diaz

• Radiology Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, 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 2, 2013; 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.