Organization Active NPI

Electronic Orthopedic Imaging Medical Associates, Inc

  • Diagnostic Radiology Physician
  • Santa Ana, CA
National Provider Identifier
1922133149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G22691 Issued in CA
Legal business name
ELECTRONIC ORTHOPEDIC IMAGING MEDICAL ASSOCIATES, INC
Practice address
2112 E 4TH St
Suite 220
Santa Ana, CA 92705-3816
Phone
(714) 835-9080
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerrold Mink, MD
Title
Medical Director
Phone
(714) 835-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X G22691 CA Primary

Addresses

Primary practice location

2112 E 4TH St
Suite 220
Santa Ana, CA 92705-3816

Mailing address

2112 E 4TH St
Suite 220
Santa Ana, CA 92705-3816
Phone (714) 835-9080

National Provider Directory

National Provider Directory

Locations

510 N Prospect Ave
Redondo Beach, CA 90277
Phone (310) 265-3100

2112 E 4th St
Ste 220
Santa Ana, CA 92705
Phone (714) 835-9080

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922133149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 E 4TH ST",
            "address_2": "SUITE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053816",
            "telephone_number": "714-835-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 E 4TH ST",
            "address_2": "SUITE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053816",
            "telephone_number": "714-835-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRONIC ORTHOPEDIC IMAGING MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINK",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-835-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G22691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.