San Diego Imaging, Llc - Medicare Primary Care in San Diego, CA

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San Diego Imaging, Llc is a medicare enrolled primary clinic (Clinic/center) in San Diego, California. The current practice location for San Diego Imaging, Llc is 7910 Frost Street, Suite 100, San Diego, California. For appointments, you can reach them via phone at (858) 634-5900. The mailing address for San Diego Imaging, Llc is P.o. Box 23540, San Diego, California and phone number is (858) 565-0950.

San Diego Imaging, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780312371. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (858) 634-5900.

Contact Information

San Diego Imaging, Llc
7910 Frost Street
Suite 100
San Diego
CA 92123-2771
(858) 634-5900
(858) 634-5990

Map and Direction


Primary Care Clinic Profile

Full NameSan Diego Imaging, Llc
SpecialityClinic/Center
Location7910 Frost Street, San Diego, California
Authorized Official Name and PositionNorman C. Chen (PRESIDENT/CEO)
Authorized Official Contact8585650950
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
San Diego Imaging, Llc
P.o. Box 23540
San Diego
CA 92193-3540

Ph: (858) 565-0950		San Diego Imaging, Llc
7910 Frost Street
Suite 100
San Diego
CA 92123-2771

Ph: (858) 634-5900

NPI Details:

NPI Number1780312371
Provider Enumeration Date08/11/2022
Last Update Date08/11/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7911371737
Medicare Enrollment IDO20230317002186

Medical Identifiers

Medical identifiers for San Diego Imaging, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780312371NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary
261QM1200XClinic/center - Magnetic Resonance Imaging (mri) (* (Not Available))Secondary
261QP3300XClinic/center - Pain (* (Not Available))Secondary
261QR0200XClinic/center - Radiology (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. San Diego Imaging, Llc acts as a billing entity for following providers:
Provider NameNathaniel A Chuang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497723969
PECOS PAC ID: 4688588312
Enrollment ID: I20031117000933
Provider NameJerry R Dwek
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558335695
PECOS PAC ID: 1052207255
Enrollment ID: I20040225000234
Provider NameJohn J Dente
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407820699
PECOS PAC ID: 9830183029
Enrollment ID: I20040412000685
Provider NameClinton R Nichols
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750355657
PECOS PAC ID: 6608855580
Enrollment ID: I20040714001607
Provider NameKeith E Kortman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1942276332
PECOS PAC ID: 1052316338
Enrollment ID: I20060919000567
Provider NamePeter G Kruk
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366480634
PECOS PAC ID: 6103821020
Enrollment ID: I20060928000277
Provider NameShanoe Cutts
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1417994252
PECOS PAC ID: 7719904275
Enrollment ID: I20060929000334
Provider NameNeeraj J Panchal
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407808454
PECOS PAC ID: 0547261471
Enrollment ID: I20070119000484
Provider NameDarryl K Evora
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790751188
PECOS PAC ID: 6204837446
Enrollment ID: I20070130000700
Provider NameJohn P Hauschildt
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922072099
PECOS PAC ID: 1355443334
Enrollment ID: I20070221000523
Provider NameHoward M Bear
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1780658450
PECOS PAC ID: 3971602947
Enrollment ID: I20070616000089
Provider NameGregg D Alzate
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932173085
PECOS PAC ID: 0749389542
Enrollment ID: I20070619000718
Provider NameJulie C Payne
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548315807
PECOS PAC ID: 3274632948
Enrollment ID: I20070620000562
Provider NameBruce L Bower
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316911084
PECOS PAC ID: 7618076365
Enrollment ID: I20070621000375
Provider NameScott M Boles
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356317747
PECOS PAC ID: 8729187307
Enrollment ID: I20070621000745
Provider NameJonathan M Gurney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1689647356
PECOS PAC ID: 4981703352
Enrollment ID: I20070626000340
Provider NameRobert P Flynn
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1851365803
PECOS PAC ID: 0648370577
Enrollment ID: I20070706000587
Provider NameJames W Lyon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1689647331
PECOS PAC ID: 6305946070
Enrollment ID: I20070710000782
Provider NameNorman C Chen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700850815
PECOS PAC ID: 7113027806
Enrollment ID: I20070710000867
Provider NameChristopher P Sebrechts
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487628558
PECOS PAC ID: 3870694391
Enrollment ID: I20070726000769
Provider NameJoel S Sigeti
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1386618361
PECOS PAC ID: 1658464979
Enrollment ID: I20070831000596
Provider NameRobert C Yacullo
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225002355
PECOS PAC ID: 9537257274
Enrollment ID: I20071114000331
Provider NameJohn Naheedy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1760695761
PECOS PAC ID: 7517135635
Enrollment ID: I20110715000475
Provider NameHamed Aryafar
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093963605
PECOS PAC ID: 2163691726
Enrollment ID: I20110816000640
Provider NameDaniel N N Vinocur
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770711830
PECOS PAC ID: 8820281306
Enrollment ID: I20110829000342
Provider NameMike H Lee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528032570
PECOS PAC ID: 5294991451
Enrollment ID: I20120717000187
Provider NameParitosh C Khanna
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568572832
PECOS PAC ID: 1355349077
Enrollment ID: I20120810000149
Provider NamePatricia S Poole
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932305596
PECOS PAC ID: 7113174921
Enrollment ID: I20130717000110
Provider NameMatthew Alan Zapala
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1346482809
PECOS PAC ID: 6103130596
Enrollment ID: I20150729008671
Provider NameWilliam W Millard
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356632889
PECOS PAC ID: 0143513788
Enrollment ID: I20160720001117
Provider NameBrian Pugmire
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609190578
PECOS PAC ID: 0749449296
Enrollment ID: I20161021002117
Provider NameMarshall Man-sung Kong
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497916852
PECOS PAC ID: 5890919849
Enrollment ID: I20170112001000
Provider NameJeffrey L Koning
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1780952176
PECOS PAC ID: 8224307004
Enrollment ID: I20170711000950
Provider NameAaron M Smith
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1013342567
PECOS PAC ID: 6103181409
Enrollment ID: I20180606003113
Provider NameRohit Khanna
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1275822413
PECOS PAC ID: 4284911538
Enrollment ID: I20190717000821
Provider NameRandall L Baldassarre
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568889921
PECOS PAC ID: 6901173699
Enrollment ID: I20190815001089
Provider NameJoshua I Rosenbaum
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396087425
PECOS PAC ID: 6103147590
Enrollment ID: I20190913001151
Provider NameAnastasia A Cruz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396139440
PECOS PAC ID: 7911218631
Enrollment ID: I20200511002968
Provider NameAshwani Gore
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730575754
PECOS PAC ID: 5294137162
Enrollment ID: I20210714003180
Provider NameVincent Michael York
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790146611
PECOS PAC ID: 8628471075
Enrollment ID: I20210723000505
Provider NameOmar Nabil Kallas
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003201336
PECOS PAC ID: 1850703760
Enrollment ID: I20210803002696
Provider NameJustin Glavis-bloom
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124474259
PECOS PAC ID: 7214282714
Enrollment ID: I20210908003680
Provider NameHamid Rajebi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588045686
PECOS PAC ID: 6406272624
Enrollment ID: I20220714001658

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.