ELITE INTERVENTIONAL RADIOLOGY CONSULTANTS OF CALIFORNIA PC – NPI #1235015785
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

ELITE INTERVENTIONAL RADIOLOGY CONSULTANTS OF CALIFORNIA PC is a radiologist located in MISSION VIEJO, CA. NPPES has assigned the NPI number 1235015785 to ELITE INTERVENTIONAL RADIOLOGY CONSULTANTS OF CALIFORNIA PC on August 12, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was last updated on Aug 14, 2025. 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 ELITE INTERVENTIONAL RADIOLOGY CONSULTANTS OF CALIFORNIA PC below.

NPI Profile for
ELITE INTERVENTIONAL RADIOLOGY CONSULTANTS OF CALIFORNIA PC

NPI Number
1235015785
Enumeration Date

(about 10 months 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
ELITE INTERVENTIONAL RADIOLOGY CONSULTANTS OF CALIFORNIA PC
Primary location
26730 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691-6364
Phone: (949) 364-2201 Fax:
Mailing address
12421 SW SHERI AVE
LAKE SUZY, FL 34269-5938
Phone: Fax:
Organization Subpart
No
Authorized Official
JACLYN EVANS
EXECUTIVE ADMINISTRATOR
Phone: (727) 480-2734
Updated
Certification Date
Aug 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)

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.