Active NPI
Millennium Diagnostic Imaging Service Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- MILLENNIUM DIAGNOSTIC IMAGING SERVICE INC
- Practice address
- 1305 S. Courson Drive
Anaheim, CA 92804-4721 - Phone
- (877) 277-7848
- Fax
- (855) 464-4936
- NPI assigned
- Jul 6, 2010
- 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. Sukhpal Singh Khunkhun
- Title
- Ceo
- Phone
- (877) 277-7848
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | |||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
1305 S. Courson Drive
Anaheim, CA 92804-4721
Mailing address
1305 S Courson Dr
Anaheim, CA 92804-4721
Phone (877) 277-7848
Other practice location 1
32310 Aquaduct Rd
Bonsall, CA 92003-4303
Phone (877) 277-7848
Other names 1
- MDIS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110309000326 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4284816463 | Practice locations: Anaheim, CA |
| O20220203000475 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5597158105 | Practice locations: Anaheim, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Mdis
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mobile Radiology Clinic/Center
- Anaheim, CA
- NPI 1831402973
Locations
2200 Harbor Blvd
Ste B210
Costa Mesa, CA 92627
Phone (949) 548-2273
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Sonography Radiologic Technologist
- Anaheim, CA
- NPI 1093894909
-
- Cardiovascular Disease Physician
- Long Beach, CA
- NPI 1407947393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1992017057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 S COURSON DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928044721",
"telephone_number": "877-277-7848",
"fax_number": "855-464-4936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 S. COURSON DRIVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928044721",
"telephone_number": "877-277-7848",
"fax_number": "855-464-4936"
}
],
"practiceLocations": [
{
"address_1": "32310 Aquaduct Rd",
"address_purpose": "LOCATION",
"city": "Bonsall",
"state": "CA",
"postal_code": "920034303",
"country_code": "US",
"telephone_number": "877-277-7848",
"fax_number": "855-464-4936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MILLENNIUM DIAGNOSTIC IMAGING SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-06",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "KHUNKHUN",
"authorized_official_first_name": "SUKHPAL",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "877-277-7848",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MDIS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.