Superior Mobile Ultrasound Company

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SUPERIOR MOBILE ULTRASOUND COMPANY

Practice address

2740 W Ball Rd
G4
Anaheim, CA 92804-5070

Phone

(714) 595-9012

NPI assigned

Jul 20, 2015

Organization subpart

No

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

Authorized official

Name

Amgad Salem, ARDMS,RVT,RDCS,NTNPI 1487051132

Title

Owner

Phone

(714) 595-9012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Amgad Salem, ARDMS,RVT,RDCS,NT

  • Vascular Sonography Radiologic Technologist
  • Garden Grove, CA
  • NPI 1487051132
  NPD Authorized official
• Nicholas N Dzebolo, MD

  • Interventional Cardiology Physician
  • Sacramento, CA
  • NPI 1932239837
  NPD

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1821473893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W BALL RD",
            "address_2": "G4",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045070",
            "telephone_number": "714-595-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W BALL RD",
            "address_2": "G4",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045070",
            "telephone_number": "714-595-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MOBILE ULTRASOUND COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "AMGAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-595-9012",
        "authorized_official_credential": "ARDMS,RVT,RDCS,NT"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.