THE INTERCOMMUNITY DIAGNOSTIC RADIOLOGY CENTER AN AFFILIATE OF PIH
NPI 1790928984
Clinic/Center - Radiology in La Mirada, CA

NPI Status: Active since April 17, 2009

Contact Information

12675 LA MIRADA BLVD
LA MIRADA, CA
ZIP 90638
Phone: (562) 698-0811

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Radiology
  • CLIA Number: 05D2020340
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-11-2026

About THE INTERCOMMUNITY DIAGNOSTIC RADIOLOGY CENTER AN AFFILIATE OF PIH

This page provides the complete NPI Profile along with additional information for The Intercommunity Diagnostic Radiology Center An Affiliate Of Pih, a provider established in La Mirada, California operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1790928984 assigned on April 2009. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as The Intercommunity Diagnostic Radiology Center An Affiliate Of Pih. The authorized official of this NPI record is Sue R Ponce (aka Carlson) (Special Projects)

NPI
1790928984
Provider Legal Name
PIH HEALTH WHITTIER HOSPITAL
Other Organization Name
THE INTERCOMMUNITY DIAGNOSTIC RADIOLOGY CENTER AN AFFILIATE OF PIH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12675 LA MIRADA BLVD LA MIRADA, CA 90638
Location Phone
(562) 698-0811
Mailing Address
12401 WASHINGTON BLVD WHITTIER, CA 90602
Mailing Phone
(562) 698-0811
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-17-2009
Last Update Date
07-27-2021
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

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

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.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUE R PONCE (AKA CARLSON)

Authorized Official Title
SPECIAL PROJECTS
Authorized Official Phone
(562) 698-0811

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
ZZT40169FMEDICAID (05)CA 
HSC30169FMEDICAID (05)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
05D2020340
Facility Type
Physician Office
Certificate Effective Date
January 12, 2024
Certificate Expiration Date
January 11, 2026
Laboratory Director
RACHAEL L. MOORE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to The Intercommunity Diagnostic Radiology Center An Affiliate Of Pih after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for THE INTERCOMMUNITY DIAGNOSTIC RADIOLOGY CENTER AN AFFILIATE OF PIH

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1790928984
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718018216916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 2 + 1 + 6 + 9 + 1 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1790928984 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962482919DR. RACHNA RAWAL MD
Individual
Pediatrics12675 LA MIRADA BLVD SUITE 200
LA MIRADA, CA 90638
(562) 944-8054
1033129820DR. CHARLES SALINGER, INC MD
Individual
Dermatology12675 LA MIRADA BLVD STE # 215
LA MIRADA, CA 90638
(562) 941-8753
1447332911 ANTHONY REYES JR. M.D.
Individual
Family Medicine12675 LA MIRADA BLVD SUITE 201
LA MIRADA, CA 90638
(562) 903-7339
1013071539AUSTIN & VATAVE MD'S INC.
Organization
Internal Medicine12675 LA MIRADA BLVD SUITE #300
LA MIRADA, CA 90638
(562) 944-8054
1295062214RACHNA RAWAL MD INC
Organization
Pediatrics12675 LA MIRADA BLVD STE 200
LA MIRADA, CA 90638
(562) 944-8054
1225398035CHARLES SALINGER MD INC.
Organization
Dermatology12675 LA MIRADA BLVD SUITE 215
LA MIRADA, CA 90638
(562) 941-8753
1346587375MS. DOROTHY GRACE CUASON CPNP
Individual
Nurse Practitioner (Pediatrics)12675 LA MIRADA BLVD SUITE 401
LA MIRADA, CA 90638
(562) 789-5435
1851607253DR. HYEJIN JAE M.D.
Individual
Family Medicine12675 LA MIRADA BLVD SUITE 201
LA MIRADA, CA 90638
(562) 903-7339
1528201639 LORI J CURETON CPNP
Individual
Nurse Practitioner (Pediatrics)12675 LA MIRADA BLVD SUITE 401
LA MIRADA, CA 90638
(562) 789-5435
1255423323 ALEXANDER A MENDEZ M.D.
Individual
Family Medicine12675 LA MIRADA BLVD SUITE 201
LA MIRADA, CA 90638
(562) 903-7339
1124167127BRIGHT MEDICAL ASSOCIATES, INC.
Organization
Specialist12675 LA MIRADA BLVD SUITE 201
LA MIRADA, CA 90638
(562) 903-7339
1831493394ANWAR AND VASEEMA ARASTU M D INC
Organization
Internal Medicine12675 LA MIRADA BLVD SUITE 200
LA MIRADA, CA 90638
(562) 941-9853
1558392167MR. JAMES F. ADAMS APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)12675 LA MIRADA BLVD 419
LA MIRADA, CA 90638
(562) 906-8832
1982857967PIH HEALTH PHYSICIANS
Organization
Family Medicine12675 LA MIRADA BLVD SUITE 201, 300, 301, 401
LA MIRADA, CA 90638
(562) 903-7339
1104941616DR. VASEEMA SULTANA ARASTU MD
Individual
Pediatrics12675 LA MIRADA BLVD SUITE 200
LA MIRADA, CA 90638
(562) 941-9853
1760509749DR. ANWAR HUSAIN ARASTU MD
Individual
Internal Medicine12675 LA MIRADA BLVD 200
LA MIRADA, CA 90638
(562) 941-9853
1407519796 ROBIN ELISE CIRCO WHNP
Individual
Nurse Practitioner (Women's Health)12675 LA MIRADA BLVD
LA MIRADA, CA 90638
(627) 895-4535
1447991203DR. JONAH SOLOMON DNP
Individual
Nurse Practitioner (Acute Care)12675 LA MIRADA BLVD
LA MIRADA, CA 90638
(562) 967-2273

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790928984, enumerated in the NPI registry as an "organization" on April 17, 2009

The provider is located at 12675 La Mirada Blvd La Mirada, Ca 90638 and the phone number is (562) 698-0811

This medical organization specializes in Clinic/Center with taxonomy code 261QR0200X with a focus in Radiology

The provider might be accepting Accepts: 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 05D2020340 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on April 17, 2009. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.