Organization Active NPI

Pro Scan Medical Imaging LLC

  • Radiology Clinic/Center
  • Delano, CA
National Provider Identifier
1881811578
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PRO SCAN MEDICAL IMAGING LLC
Practice address
929 Jefferson St
#D
Delano, CA 93215-2296
Phone
(661) 721-2658
Fax
(661) 721-8442
NPI assigned
Apr 20, 2007
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mr. Don Klein
Title
Ceo
Phone
(510) 582-3792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

929 Jefferson St
#D
Delano, CA 93215-2296

Mailing address

5200 Wildrose LN
Castro Valley, CA 94546-1600
Phone (510) 582-3792

National Provider Directory

National Provider Directory

Locations

929 Jefferson St
Unit D
Delano, CA 93215
Phone (661) 244-8126

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1881811578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WILDROSE LN",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945461600",
            "telephone_number": "510-582-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 JEFFERSON ST",
            "address_2": "#D",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152296",
            "telephone_number": "661-721-2658",
            "fax_number": "661-721-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO SCAN MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-582-3792",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.