NPIMap

Organization Active NPI

South Coast Medical Center for New Med.Inc

Doing business as S C Medical Imaging

  • Computed Tomography Radiologic Technologist
  • Irvine, CA
National Provider Identifier
1801095427
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X
License
BUS06-02166 Issued in CA
Legal business name
SOUTH COAST MEDICAL CENTER FOR NEW MED.INC
Doing business as
S C Medical Imaging
Practice address
6 Hughes
Suite 100-150
Irvine, CA 92618-2059
Phone
(949) 680-1907
NPI assigned
Jul 13, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH COAST MEDICAL CENTER FOR NEW MED. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Leigh Erin Connealy, M. D.NPI 1548372048
Title
Medical Director/Owner
Phone
(949) 680-1907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU
Computed Tomography Radiologic Technologist 2471C3401X BUS06-02166 CA Primary

Addresses

Primary practice location

6 Hughes
Suite 100-150
Irvine, CA 92618-2059

Mailing address

55 Vernal SPG
Irvine, CA 92603-0404
Phone (949) 680-1907

Other identifiers 2

IdentifierTypeStateIssuer
G57433OtherCASTATE MEDICAL LICENSE
BUS06-02166OtherCITY OF IRVINE BUSINESS L

Other names 1

  • S C Medical Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Coast Medical Center3 organizations share this tax ID, including this one
Part of
South Coast Medical Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6 Hughes
Ste 100150
Irvine, CA 92618
Phone (949) 680-1907

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1801095427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 VERNAL SPG",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926030404",
            "telephone_number": "949-680-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HUGHES",
            "address_2": "SUITE 100-150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182059",
            "telephone_number": "949-680-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST MEDICAL CENTER FOR NEW MED.INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH COAST MEDICAL CENTER FOR NEW MED. INC.",
        "enumeration_date": "2007-07-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CONNEALY",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "949-680-1907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "CA",
            "license": "BUS06-02166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G57433",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF IRVINE BUSINESS L",
            "identifier": "BUS06-02166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S C Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.