Mobile Ultrasound Imaging Services, Inc

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

Legal business name

MOBILE ULTRASOUND IMAGING SERVICES, INC

Practice address

16041 Marjan LN
Huntington Beach, CA 92647-3423

Phone

(714) 390-7070

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Nigal SurfianNPI 1063825255

Title

Tech

Phone

(714) 390-7070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nigal Surfian, ARDMS

  • Sonography Radiologic Technologist
  • Huntington Beach, CA
  • NPI 1063825255
  NPD (past) Authorized official
• Su Yong Pak, M.D.

  • Internal Medicine Physician
  • Lynnwood, WA
  • NPI 1437169372
  NPD

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1962804187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16041 MARJAN LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473423",
            "telephone_number": "714-390-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16041 MARJAN LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473423",
            "telephone_number": "714-390-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ULTRASOUND IMAGING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "SURFIAN",
        "authorized_official_first_name": "NIGAL",
        "authorized_official_title_or_position": "TECH",
        "authorized_official_telephone_number": "714-390-7070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonography Radiologic Technologist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Sonography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.