Active NPI
Imaging Healthcare Specialists Medical Group, Inc.
- Diagnostic Radiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- IMAGING HEALTHCARE SPECIALISTS MEDICAL GROUP, INC.
- Practice address
- 6256 Greenwich Dr
Suite 150
San Diego, CA 92122-5941 - Phone
- (866) 558-4320
- Fax
- (619) 294-8399
- NPI assigned
- Aug 24, 2006
- Last updated
- Oct 29, 2013
- 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
- Thomas D Cleary
- Title
- President & Ceo
- Phone
- (866) 558-4320
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary | |
| Vascular & Interventional Radiology Physician | 2085R0204X | NU |
Addresses
Primary practice location
6256 Greenwich Dr
Suite 150
San Diego, CA 92122-5941
Mailing address
File 1317 1801 W Olympic Blvd
Pasadena, CA 91199-1317
Phone (888) 927-8018
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0103682 | Medicaid | CA | |
| GR0103686 | Medicaid | CA | |
| GR0103680 | Medicaid | CA | |
| GR0103683 | Medicaid | CA | |
| GR0103687 | Medicaid | CA | |
| GR0103688 | Medicaid | CA | |
| GR010368A | Medicaid | CA | |
| GR010368C | Medicaid | CA | |
| GR0103689 | Medicaid | CA | |
| GR0103685 | Medicaid | CA | |
| GR010368B | Medicaid | CA | |
| GR0103681 | Medicaid | CA | |
| GR0103684 | Medicaid | CA | |
| GR010368D | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
333 H St
Ste 1095
Chula Vista, CA 91910
Phone (619) 409-9119
855 Third Ave
Ste 1110
Chula Vista, CA 91911
Phone (619) 409-9119
317 14th St
Del Mar, CA 92014
Phone (858) 481-6717
477 N El Camino Real
Ste A102
Encinitas, CA 92024
Phone (760) 452-7150
25405 Hancock Ave
Ste 107
Murrieta, CA 92562
Phone (909) 600-4848
1801 W Olympic Blvd
#1317
Pasadena, CA 91199
3366 5th Ave
San Diego, CA 92103
Phone (619) 230-0400
4033 3rd Ave
Ste 100
San Diego, CA 92103
Phone (619) 229-2299
6256 Greenwich Dr
Ste 150
San Diego, CA 92122
Phone (866) 558-4320
6386 Alvarado Ct
Ste 107
San Diego, CA 92120
Phone (619) 229-2299
Practitioners & affiliated clinicians
Practitioners 66
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.
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1972554996
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1669890588
-
- Diagnostic Radiology Physician
- Orange, CA
- NPI 1457767154
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1851342539
-
- Vascular & Interventional Radiology Physician
- San Diego, CA
- NPI 1710243696
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1689627838
-
- Body Imaging Physician
- Camp Pendleton, CA
- NPI 1841268174
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1497708622
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1841243912
-
- Diagnostic Radiology Physician
- Escondido, CA
- NPI 1114987096
-
- Diagnostic Radiology Physician
- La Jolla, CA
- NPI 1497716856
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1114246329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383004800000",
"number": "1750498093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 1317 1801 W OLYMPIC BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911991317",
"telephone_number": "888-927-8018",
"fax_number": "800-508-4751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6256 GREENWICH DR",
"address_2": "SUITE 150",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921225941",
"telephone_number": "866-558-4320",
"fax_number": "619-294-8399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGING HEALTHCARE SPECIALISTS MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2013-10-29",
"status": "A",
"authorized_official_last_name": "CLEARY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "866-558-4320"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103682",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103686",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103680",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103683",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103687",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103688",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR010368A",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR010368C",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103689",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103685",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR010368B",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103681",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103684",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR010368D",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.