Active NPI
Southern California Imaging
- Mobile Radiology Clinic/Center
- Lancaster, CA
National Provider Identifier
1821742875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- SOUTHERN CALIFORNIA IMAGING
- Practice address
- 42529 36TH St W
Lancaster, CA 93536-4104 - Phone
- (661) 435-3524
- NPI assigned
- Feb 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Ernest Hartman, RT
- Title
- President
- Phone
- (661) 435-3524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
42529 36TH St W
Lancaster, CA 93536-4104
Mailing address
42529 36TH St W
Lancaster, CA 93536-4104
Phone (661) 435-3524
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644278400000",
"number": "1821742875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42529 36TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935364104",
"telephone_number": "661-435-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42529 36TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935364104",
"telephone_number": "661-435-3524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CALIFORNIA IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A",
"authorized_official_last_name": "HARTMAN",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "ERNEST",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-435-3524",
"authorized_official_credential": "RT"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.