Organization Active NPI

Whittier Breast Imaging Professional Medical Corporation

  • Diagnostic Radiology Physician
  • Whittier, CA
National Provider Identifier
1841438074
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
70407 Issued in CA
Legal business name
WHITTIER BREAST IMAGING PROFESSIONAL MEDICAL CORPORATION
Practice address
12393 Washington Blvd
Whittier, CA 90606-2502
Phone
(562) 907-0667
Fax
(562) 907-4162
NPI assigned
Jan 26, 2009
Last updated
Jul 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Maureen C Jensen, M.D.
Title
Medical Director
Phone
(562) 698-0811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 70407 CA Primary

Addresses

Primary practice location

12393 Washington Blvd
Whittier, CA 90606-2502

Mailing address

PO Box 1277
Whittier, CA 90609-1277
Phone (562) 906-6470

Other identifiers 1

IdentifierTypeStateIssuer
70407OtherCALICENSE

Other names 1

  • The Patricia Scheifly Breast Health Center Other name

National Provider Directory

National Provider Directory

Locations

12393 Washington Blvd
Whittier, CA 90606
Phone (562) 696-5964

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1841438074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1277",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906091277",
            "telephone_number": "562-906-6470",
            "fax_number": "562-946-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12393 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062502",
            "telephone_number": "562-907-0667",
            "fax_number": "562-907-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITTIER BREAST IMAGING PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-698-0811",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "70407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "70407",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Patricia Scheifly Breast Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.