Organization Active NPI

Corona Open MRI Center, LLC

  • Diagnostic Radiology Physician
  • Corona, CA
National Provider Identifier
1891743118
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CORONA OPEN MRI CENTER, LLC
Practice address
391 N Main St
Suite 110
Corona, CA 92880-2001
Phone
(951) 340-3300
Fax
(951) 340-3201
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Mr. Donald Stanley
Title
Managing Partner
Phone
(951) 340-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

391 N Main St
Suite 110
Corona, CA 92880-2001

Mailing address

391 N Main St
Suite 110
Corona, CA 92880-2001
Phone (951) 340-3300

Other names 1

  • Lifescape Imaging Center Doing business as

National Provider Directory

National Provider Directory

Locations

391 N Main St
Ste 110
Corona, CA 92878
Phone (909) 340-3300

Practitioners & affiliated clinicians

Practitioners 1

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": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1891743118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 N MAIN ST",
            "address_2": "SUITE 110",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928802001",
            "telephone_number": "951-340-3300",
            "fax_number": "951-340-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 N MAIN ST",
            "address_2": "SUITE 110",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928802001",
            "telephone_number": "951-340-3300",
            "fax_number": "951-340-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA OPEN MRI CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "951-340-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifescape Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.