Organization Active NPI

Tri-County Medical Imaging Services,Inc

  • Mobile Radiology Clinic/Center
  • Porterville, CA
National Provider Identifier
1982777348
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
054353 Issued in CA
Legal business name
TRI-COUNTY MEDICAL IMAGING SERVICES,INC
Practice address
590 W Putnam Ave
Suite 2 B
Porterville, CA 93257-3257
Phone
(559) 782-1973
Fax
(559) 782-1976
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Ella Jackson
Title
President
Phone
(559) 782-1973

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 054353 CA
Mobile Radiology Clinic/Center 261QR0208X 054353 CA Primary

Addresses

Primary practice location

590 W Putnam Ave
Suite 2 B
Porterville, CA 93257-3257

Mailing address

PO Box 8613
Porterville, CA 93258-8613
Phone (559) 782-1973

Other identifiers 2

IdentifierTypeStateIssuer
OOG409810MedicaidCA
OOG409811MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517001057 CA Part B Supplier - Clinic/Group Practice 7618918947 Receives reassigned benefits from 1 practitioner
Practice locations: Lindsay, CA; Porterville, CA

National Provider Directory

National Provider Directory

Locations

833 Sequoia Ave
#B
Lindsay, CA 93247
Phone (559) 562-1361

833 Sequoia Ave
Ste 2B
Lindsay, CA 93247

590 W Putnam Ave
Ste 2B
Porterville, CA 93257
Phone (559) 782-1022

590 W Putnam Ave
Ste 2
Porterville, CA 93257
Phone (559) 782-1973

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1982777348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8613",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932588613",
            "telephone_number": "559-782-1973",
            "fax_number": "559-782-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W PUTNAM AVE",
            "address_2": "SUITE 2 B",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573257",
            "telephone_number": "559-782-1973",
            "fax_number": "559-782-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY MEDICAL IMAGING SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-782-1973",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "054353",
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": "054353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG409810",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG409811",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.