Individual provider Active NPI

Tatiana Voci, MD

  • Diagnostic Radiology Physician
  • San Bernardino, CA
National Provider Identifier
1760510879
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A75320 Issued in CA
Practice address
399 E 21St St
San Bernardino, CA 92404-4815
Phone
(909) 882-2266
Fax
(909) 881-7593
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A75320 CA Primary

Addresses

Primary practice location

399 E 21St St
San Bernardino, CA 92404-4815

Mailing address

399 E 21St St
San Bernardino, CA 92404-4815
Phone (909) 882-2266

Other identifiers 1

IdentifierTypeStateIssuer
00A753200MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811000998 CA Practitioner - Diagnostic Radiology 8628007358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Harvard Medical School, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Max MRI Radiology a Medical Group IncGroup PAC ID 0648643122, 3 clinicians

Practice addresses (Care Compare)

17530 Ventura Blvd
Suite 106
Encino, CA 91316-3818

17530 Ventura Blvd
Suite 106
Encino, CA 91316-3884
Phone 8183822220104

3440 Lomita Blvd
Suite 151
Torrance, CA 90505-4865
Phone (310) 530-2624

9380 Waples St
Suite 104
San Diego, CA 92121-3905
Phone (310) 570-5488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75320CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Dec 1, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Max MRI Radiology a Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Family Radiology Inc. CurrentSince May 30, 2011 Accepting new patients
Golden State Diagnostic Inc CurrentSince Mar 1, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Max MRI Imaging Inc Diagnostic Radiology Past Accepting new patients

Locations

11510 S Fortuna Rd
Ste B
Yuma, AZ 85367
Phone (310) 530-2624

17530 Ventura Blvd
Ste 106
Encino, CA 91316
Phone (818) 382-2220

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

9380 Waples St
Ste 104
San Diego, CA 92121
Phone (310) 570-5488

399 E 21st St
Sn Bernrdno, CA 92404
Phone (909) 882-2266

3440 Lomita Blvd
Ste 151
Torrance, CA 90505
Phone (310) 530-2624

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1760510879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044815",
            "telephone_number": "909-882-2266",
            "fax_number": "909-881-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044815",
            "telephone_number": "909-882-2266",
            "fax_number": "909-881-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOCI",
        "first_name": "TATIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A75320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A753200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.