Organization Active NPI

Open Advantage MRI III, Inc

  • Magnetic Resonance Imaging Radiologic Technologist
  • Brea, CA
National Provider Identifier
1780609644
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
OPEN ADVANTAGE MRI III, INC
Practice address
10 Pointe Dr
#110
Brea, CA 92821-3690
Phone
(714) 256-9754
Fax
(714) 256-9755
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Hannah Schwartz
Title
Cfo
Phone
(714) 200-2232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X Primary

Addresses

Primary practice location

10 Pointe Dr
#110
Brea, CA 92821-3690

Mailing address

10 Pointe Dr
#110
Brea, CA 92821-3690
Phone (714) 256-9754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040123001068 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0446152912 Practice locations: Brea, CA

National Provider Directory

National Provider Directory

Locations

10 Pointe Dr
Ste 110
Brea, CA 92821
Phone (714) 256-9754

10 Pointe Dr
Brea, CA 92821

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1780609644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 POINTE DR",
            "address_2": "#110",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213690",
            "telephone_number": "714-256-9754",
            "fax_number": "714-256-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 POINTE DR",
            "address_2": "#110",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213690",
            "telephone_number": "714-256-9754",
            "fax_number": "714-256-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ADVANTAGE MRI III, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-200-2232"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.