Imaging Centers Direct LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

IMAGING CENTERS DIRECT LLC

Practice address

1125 E 17TH Street
Ste W125
Santa Ana, CA 92701

Phone

(714) 547-3200

Fax

(714) 547-7249

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Brenes

Title

Part Owner

Phone

(714) 547-3200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dedicated Medical Imaging Center Doing business as

Locations

Practitioners 1

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

• Curtis Cammarata, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1477521201
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1881762979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH STREET",
            "address_2": "STE W125",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-547-3200",
            "fax_number": "714-547-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH STREET",
            "address_2": "STE W125",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-547-3200",
            "fax_number": "714-547-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING CENTERS DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "BRENES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "714-547-3200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G475810",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0059280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedicated Medical Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hidenori Mutsuo Ikuhara, M.D.
• Russel Mendoza Ilagan, RN,BSN
• Illuminate Diagnostics Inc
• Ye Kyeom Im, OTD
• Image Orthopedic Lab, Inc.
• Imran Imam, M.D.
• Iman Malek Hedayat DDS Inc
• Charisse Vinzelle Nacito Imatong
• Stephanie T. Imp
• Impact Employee Wellness Inc

• Diagnostic Radiology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.