Organization Active NPI

Peralta Hills - Mission Valley Imaging Group, P.C.

  • Specialist
  • Winnetka, CA
National Provider Identifier
1740652486
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PERALTA HILLS - MISSION VALLEY IMAGING GROUP, P.C.
Practice address
7111 Winnetka Ave
#16
Winnetka, CA 91306-3672
Phone
(818) 337-3550
NPI assigned
Oct 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Amjad Safvi, MD
Title
President
Phone
(714) 581-8868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7111 Winnetka Ave
#16
Winnetka, CA 91306-3672

Mailing address

1100 W Town and Country Rd
1250
Orange, CA 92868-4600
Phone (714) 581-8868

Other names 1

  • Peralta Hills - Mission Valley Imaging Group, P.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1740652486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W TOWN AND COUNTRY RD",
            "address_2": "1250",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684600",
            "telephone_number": "714-581-8868",
            "fax_number": "714-581-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 WINNETKA AVE",
            "address_2": "#16",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063672",
            "telephone_number": "818-337-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERALTA HILLS - MISSION VALLEY IMAGING GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "SAFVI",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-581-8868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peralta Hills - Mission Valley Imaging Group, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.