NEWPORT IMAGING CENTER – NPI #1013951714
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

NEWPORT IMAGING CENTER is a radiologist located in NEWPORT BEACH, CA. NPPES has assigned the NPI number 1013951714 to NEWPORT IMAGING CENTER on June 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEWPORT IMAGING CENTER” is a dba name, the actual legal business name for this organization is NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 8 years ago on Aug 20, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEWPORT IMAGING CENTER below.

NPI Profile for
NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC

NPI Number
1013951714
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC
Doing Business As (dba): NEWPORT IMAGING CENTER
Primary location
360 SAN MIGUEL DR STE 106
NEWPORT BEACH, CA 92660
Phone: (949) 764-7480 Fax: (949) 721-9411
Mailing address
DEPT LA 21705
PASADENA, CA 91185-1705
Phone: (949) 263-8620 Fax: (949) 263-1639
Organization Subpart
No
Authorized Official
MICHAEL ROOSSIN
PRESIDENT
Phone: (949) 574-8200
Updated
Identifiers

Identifiers for NEWPORT IMAGING CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDCAZZZ05509Z
OTHERBLUE SHIELDCAZZZ13769Z
OTHERBLUE SHIELDCAZZZ16877Z
MEDICAIDCAGR0027850
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
207U00000X
- Nuclear Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.