LA JOLLA RADIOLOGY MEDICAL GROUP - DIAGNOSIS, INC.
NPI 1689627317
Radiology - Diagnostic Radiology in San Diego, CA
NPI Status: Active since May 17, 2006
Contact Information
10150 SORRENTO VALLEY RD
SUITE 320
SAN DIEGO, CA
ZIP 92121
Phone: (858) 454-4235
Fax: (858) 454-4644
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 05D2308224
- CLIA Cert. Type: Other - RESIDENTIAL DRUG TREAT CT
- CLIA Exp. Date: 07-22-2026
About LA JOLLA RADIOLOGY MEDICAL GROUP - DIAGNOSIS, INC.
This page provides the complete NPI Profile along with additional information for La Jolla Radiology Medical Group - Diagnosis, Inc., a provider established in San Diego, California operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1689627317 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 16 years ago. La Jolla Radiology Medical Group - Diagnosis, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Peter H.b. Mccreight M.d. (President)
- NPI
- 1689627317
- Provider Name
- LA JOLLA RADIOLOGY MEDICAL GROUP - DIAGNOSIS, INC.
- Entity Type
- Organization
- Location Address
- 10150 SORRENTO VALLEY RD SUITE 320 SAN DIEGO, CA 92121
- Location Phone
- (858) 454-4235
- Location Fax
- (858) 454-4644
- Mailing Address
- P.O. BOX 2570 NEWBURY PARK, CA 91319
- Mailing Phone
- (800) 386-8024
- Mailing Fax
- (858) 454-4644
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 06-22-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ00192Z | OTHER (01) | BLUE SHIELD | |
| ZZZ777070Z | OTHER (01) | BLUE SHIELD | |
| ZZZ00872Z | OTHER (01) | BLUE SHIELD | |
| HW10545A | MEDICARE PIN (08) | CA | |
| GR0006796 | MEDICAID (05) | CA | |
| ZZZ71703Z | MEDICAID (05) | CA | |
| CG5449 | MEDICARE PIN (08) | CA | |
| ZZZ73863Z | OTHER (01) | BLUE SHIELD | |
| ZZZ73863Z | MEDICAID (05) | CA | |
| ZZZ71703Z | OTHER (01) | BLUE SHIELD | |
| GR0006799 | MEDICAID (05) | CA | |
| HW10545 | MEDICARE PIN (08) | CA | |
| ZZZ00873Z | OTHER (01) | BLUE SHIELD | |
| ZZZ00191Z | OTHER (01) | BLUE SHIELD | |
| W10545 | MEDICARE PIN (08) | CA | |
| ZZZ23443Z | OTHER (01) | BLUE SHIELD | |
| W10545F | MEDICARE PIN (08) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2308224
- Facility Type
- Other - RESIDENTIAL DRUG TREAT CT
- Certificate Effective Date
- July 23, 2024
- Certificate Expiration Date
- July 22, 2026
- Laboratory Director
- SYDNEY ABRAMSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to La Jolla Radiology Medical Group - Diagnosis, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 6 | 2 | 7 | 3 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 12 | 2 | 14 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 2 + 2 + 1 + 4 + 3 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1689627317 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447201603 | STEPHEN I. MORELAND III M.D. Individual | Radiology (Diagnostic Radiology) | 10150 SORRENTO VALLEY RD SUITE 320 SAN DIEGO, CA 92121 (858) 454-4235 |
| 1457303752 | DAVID DUC-QUY VU M.D. Individual | Radiology (Diagnostic Radiology) | 10150 SORRENTO VALLEY RD SUITE 320 SAN DIEGO, CA 92121 (858) 454-4235 |
| 1073565420 | JOSEPH T. WROBLICKA M.D. Individual | Radiology (Diagnostic Radiology) | 10150 SORRENTO VALLEY RD SUITE 320 SAN DIEGO, CA 92121 (858) 454-4235 |
| 1962454843 | MICHAEL A. NOON M.D. Individual | Radiology (Diagnostic Radiology) | 10150 SORRENTO VALLEY RD SUITE 320 SAN DIEGO, CA 92121 (858) 454-4235 |
| 1033246939 | DR. RATANA GRACE BHARDWAJ M.D. Individual | Radiology (Diagnostic Radiology) | 10150 SORRENTO VALLEY RD SUITE 320 SAN DIEGO, CA 92121 (858) 454-4235 |
| 1972554996 | DR. DOUGLAS J BATES M.D. Individual | Radiology (Diagnostic Radiology) | 10150 SORRENTO VALLEY RD SUITE 320 SAN DIEGO, CA 92121 (858) 454-4235 |
| 1851342539 | DR. LYDIA CANAVAN M.D. Individual | Radiology (Diagnostic Radiology) | 10150 SORRENTO VALLEY RD SUITE 320 SAN DIEGO, CA 92121 (858) 454-4235 |
| 1538171095 | DR. RAHUL R. PATEL M.D. Individual | Radiology (Diagnostic Radiology) | 10150 SORRENTO VALLEY RD SUITE 320 SAN DIEGO, CA 92121 (858) 678-6886 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689627317, enumerated in the NPI registry as an "organization" on May 17, 2006
The provider is located at 10150 Sorrento Valley Rd Suite 320 San Diego, Ca 92121 and the phone number is (858) 454-4235
This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D2308224 for a "other - residential drug treat ct" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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