Full Body Scanning of Orange County LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

FULL BODY SCANNING OF ORANGE COUNTY LLC

Doing business as

Stellar Medical Imaging

Practice address

3 Corporate Plaza
Suite 100
Newport Beach, CA 92660

Phone

(949) 726-6470

Fax

(858) 272-0690

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Dino Berardino

Title

President Ceo

Phone

(619) 778-3913

Specialties & licenses 1

Addresses

Other names 1

• Stellar Medical Imaging Doing business as

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1891982484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8677 VIA LA JOLLA DR",
            "address_2": "#1252",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "949-706-6470",
            "fax_number": "858-272-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORPORATE PLAZA",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-726-6470",
            "fax_number": "858-272-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BODY SCANNING OF ORANGE COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "BERARDINO",
        "authorized_official_first_name": "DINO",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "619-778-3913"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stellar Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John S. Fry, PH.D.
• Darrin Miles Fryer, M.D.
• Michelle Fukuda, PA-C
• William Paul Fukuda, M.D.
• Wendy Abe Fukushima, PHARMD
• Kayla Fuller
• Shirley Furman, N.P.
• Alexis Dorian Furze, MD, FACS
• Susan T Fusaro, MASTERS
• Tiffany Futrell, NP, PMHNP-BC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in California

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