Joseph M Konstantarakis, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A83087 Issued in CA

Practice address

27700 Medical Center Rd
Radiology Dept.
Mission Viejo, CA 92691-6426

Phone

(949) 364-7744

Fax

(949) 364-4233

NPI assigned

May 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coast Radiology Imaging and Intervention Inc

  • Diagnostic Radiology Physician
  • Mission Viejo, CA
  • NPI 1376690636
  NPD (past)
• La Jolla Radiology Medical Group - Diagnosis, Inc.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1689627317
  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1982655155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21789",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851789",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27700 MEDICAL CENTER RD",
            "address_2": "RADIOLOGY DEPT.",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916426",
            "telephone_number": "949-364-7744",
            "fax_number": "949-364-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTANTARAKIS",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A83087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00A830870",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A830870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason W Knott, PA
• Hee Yon Koh, DMD
• Kolvita Family Medical Group, Inc.
• Komi Optical, Inc.
• Haley Caitlyn Kong
• Kool Living Inc. (Footprints Behavioral Health)
• Kool Living, Inc.
• Sheri Koplik, M.D.
• Rise Jacqueline Kosewick, M.F.T.
• Mark A Kouris, D.D.S.

• Diagnostic Radiology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.