Active NPI
Maged S Tawadros
- Radiography Radiologic Technologist
- Pasadena, CA
National Provider Identifier
1871730937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- RHF 76752
- Practice address
- 281 N Altadena Dr # F
Pasadena, CA 91107-3364 - Phone
- (626) 728-1708
- Fax
- (626) 294-9414
- NPI assigned
- Jan 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | RHF 76752 | CA | Primary |
Addresses
Primary practice location
281 N Altadena Dr # F
Pasadena, CA 91107-3364
Mailing address
PO Box 1183
Temple City, CA 91780-1183
Phone (626) 728-1708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090213000415 | CA | Part B Supplier - Portable X-Ray Supplier | 7012072689 | Practice locations: Temple City, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHF 76752 | CA | MD | Radiography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JT Imaging Mobile X-Ray | Current | Accepting new patients |
Locations
11017 W Hondo Pkwy
Unit B
Temple City, CA 91780
Phone (626) 483-2632
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Temple City, CA
- NPI 1184388209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1871730937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1183",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917801183",
"telephone_number": "626-728-1708",
"fax_number": "626-294-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 N ALTADENA DR # F",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073364",
"telephone_number": "626-728-1708",
"fax_number": "626-294-9414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAWADROS",
"first_name": "MAGED",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-12",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "CA",
"license": "RHF 76752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.