Southern California Mobile X-Ray, LLC.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

FAC72258 Issued in CA

Legal business name

SOUTHERN CALIFORNIA MOBILE X-RAY, LLC.

Doing business as

Alert Mobile Diagnostics

Practice address

31945 Coast Hwy
Laguna Beach, CA 92651

Phone

(702) 308-2453

NPI assigned

May 30, 2013

Last updated

Aug 3, 2018By 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

Jason Liu, MDNPI 1790725364

Title

Member

Phone

(702) 308-2453

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alert Mobile Diagnostics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Jason Y Liu, MD.

  • Diagnostic Radiology Physician
  • Newport Beach, CA
  • NPI 1790725364
  NPD Authorized official

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1780021857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31945 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516867",
            "telephone_number": "702-308-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31945 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "702-308-2453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7909 Silverton Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921266347",
            "country_code": "US",
            "telephone_number": "858-444-9729",
            "fax_number": "858-408-3628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA MOBILE X-RAY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-308-2453",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "CA",
            "license": "FAC72258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPH",
            "identifier": "72258",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alert Mobile Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Coast Medical Center
• South Coast Medical Center
• South Coast Medical Center
• South Coast Urogynecology Inc
• South Coast Urogynecology Inc (South Coast Urogynecology)
• Spencer Recovery Centers, Inc.
• SS Bederman MD Inc a Professional Medical Corporation
• Ruth Stafford, PHD
• Jennifer Susan Starlight Rojas, LMFT
• Viviane Stein, DDS

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.