NPIMap

Organization Active NPI

Physicians Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1891741831
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PHYSICIANS RADIOLOGY MEDICAL GROUP, INC.
Practice address
6386 Alvarado CT
121
San Diego, CA 92120-4905
Phone
(619) 229-6551
Fax
(619) 286-4524
NPI assigned
May 25, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Jon Robins, M.D.NPI 1619920006
Title
President
Phone
(619) 229-6551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary
Vascular & Interventional Radiology Physician 2085R0204X

Addresses

Primary practice location

6386 Alvarado CT
121
San Diego, CA 92120-4905

Mailing address

8400 Miramar Rd
200
San Diego, CA 92126-4387
Phone (858) 564-1400

Other identifiers 4

IdentifierTypeStateIssuer
ZZZ80191ZMedicaidCA
ZZZ35437ZOtherBLUE SHIELD
ZZZ35440ZOtherBLUE SHIELD
ZZZ80428ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

333 H St
Ste 1095
Chula Vista, CA 91910
Phone (619) 409-9119

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

1801 W Olympic Blvd
#1316
Pasadena, CA 91199

12620 Monte Vista Rd
Ste A
Poway, CA 92064
Phone (858) 487-9729

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

1809 National Ave
Ste 2104
San Diego, CA 92113

6386 Alvarado Ct
Ste 121
San Diego, CA 92120
Phone (619) 229-2299

8400 Miramar Rd
Ste 200
San Diego, CA 92126
Phone (818) 572-3495

Practitioners & affiliated clinicians

Practitioners 102

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 102

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1891741831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 MIRAMAR RD",
            "address_2": "200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264387",
            "telephone_number": "858-564-1400",
            "fax_number": "858-564-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT",
            "address_2": "121",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204905",
            "telephone_number": "619-229-6551",
            "fax_number": "619-286-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS RADIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "ROBINS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-229-6551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ80191Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ35437Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ35440Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ80428Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.