Active NPI
Insight Health Corp
- Physiological Laboratory
- Fullerton, CA
National Provider Identifier
1962478628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- INSIGHT HEALTH CORP
- Practice address
- 301 W Bastanchury Rd
Ste 128 & 130
Fullerton, CA 92835-3419 - Phone
- (714) 278-9363
- Fax
- (714) 278-9364
- NPI assigned
- Feb 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian G Drazba
- Title
- Senior V.P. & Chief Accounting Ofcr
- Phone
- (949) 282-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
301 W Bastanchury Rd
Ste 128 & 130
Fullerton, CA 92835-3419
Mailing address
File 57174
Los Angeles, CA 90074-0001
Phone (949) 282-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00020788 | Other | CA | RAILROAD MEDICARE PIN |
| EXE70113F | Medicaid | CA |
Other names 1
- INSIGHT IMAGING - Fullerton
National Provider Directory
National Provider DirectoryLocations
File 57209
Los Angeles, CA 90074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1962478628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57174",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001",
"telephone_number": "949-282-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD",
"address_2": "STE 128 & 130",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353419",
"telephone_number": "714-278-9363",
"fax_number": "714-278-9364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT HEALTH CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-23",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "DRAZBA",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "SENIOR V.P. & CHIEF ACCOUNTING OFCR",
"authorized_official_telephone_number": "949-282-6000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00020788",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EXE70113F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "INSIGHT IMAGING - Fullerton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.