NPIMap

Organization Active NPI

Wave Imaging LLC

Doing business as Memorialcare Imaging Center-San Clemente

  • Radiology Clinic/Center
  • San Clemente, CA
National Provider Identifier
1891178273
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
WAVE IMAGING LLC
Doing business as
Memorialcare Imaging Center-San Clemente
Practice address
675 Camino de Los Mares
Suite 101
San Clemente, CA 92673-2835
Phone
(949) 493-8799
NPI assigned
Jul 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Authorized official

Name
Mark D Schafer, MD
Title
Ceo
Phone
(657) 241-3500

Specialties & licenses 1

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

Addresses

Primary practice location

675 Camino de Los Mares
Suite 101
San Clemente, CA 92673-2835

Mailing address

17360 Brookhurst St
Fountain Valley, CA 92708-3720
Phone (657) 241-3500

Other names 1

  • MEMORIALCARE IMAGING CENTER-SAN CLEMENTE Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

17360 Brookhurst St
Ste 102
Fountain Valley, CA 92708

3828 Schaufele Ave
Ste 250
Long Beach, CA 90808
Phone (562) 498-6322

3300 W Coast Hwy
Ste B
Newport Beach, CA 92663
Phone (949) 646-4400

2710 E Willow St
Signal Hill, CA 90755
Phone (562) 427-0714

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435881600000",
    "number": "1891178273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17360 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083720",
            "telephone_number": "657-241-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES",
            "address_2": "SUITE 101",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732835",
            "telephone_number": "949-493-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-241-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEMORIALCARE IMAGING CENTER-SAN CLEMENTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; 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.