ELLIOTT FANKUCHEN M.D. – NPI #1356394969
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
ELLIOTT FANKUCHEN is a radiologist located in LAGUNA BEACH, CA. NPPES has assigned the NPI number 1356394969 to ELLIOTT FANKUCHEN on May 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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 19 years ago on Nov 30, 2007. 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 ELLIOTT FANKUCHEN below.
NPI Profile for
ELLIOTT FANKUCHEN
(more than 20 years ago)
RADIOLOGY DEPARTMENT
LAGUNA BEACH, CA 92651 Phone: (949) 499-7195 Fax:
PASADENA, CA 91185-1650 Phone: (949) 263-8620 Fax: (949) 263-1639
Identifiers for ELLIOTT FANKUCHEN
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE SHIELD | CA | 00G495240 |
| MEDICAID | CA | 00G495240 |
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) |
CA | G49524 |
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.