Organization Active NPI

SD Imaging, LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Escondido, CA
National Provider Identifier
1992708366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
SD IMAGING, LLC
Practice address
255 N Elm St
Ste 102
Escondido, CA 92025-3431
Phone
(760) 743-3873
Fax
(760) 743-3874
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chris Wakeman
Title
Managing Member
Phone
(760) 743-3873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X Primary

Addresses

Primary practice location

255 N Elm St
Ste 102
Escondido, CA 92025-3431

Mailing address

255 N Elm St
Ste 102
Escondido, CA 92025-3431
Phone (760) 743-3873

Other names 1

  • Advanced MRI of Escondido Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992708366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N ELM ST",
            "address_2": "STE 102",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253431",
            "telephone_number": "760-743-3873",
            "fax_number": "760-743-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N ELM ST",
            "address_2": "STE 102",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253431",
            "telephone_number": "760-743-3873",
            "fax_number": "760-743-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAKEMAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "760-743-3873"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced MRI of Escondido",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.