SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC
SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1417988221, based in Coronado, CA. The organization lists 14 taxonomy classifications, with Diagnostic Radiology Physician recorded as primary.
Getting there
The practice address on file is 250 PROSPECT PL SHARP CORONADO HOSPITAL, Coronado, CA 92118. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| B1982005164 | CA | Nuclear Medicine Physician |
| B1982005164 | CA | Nuclear Cardiology Physician |
| B1982005164 | CA | Nuclear Imaging & Therapy Physician |
| B1982005164 | CA | Pediatric Radiology Physician |
| B1982005164 | CA | Radiation Oncology Physician |
| B1982005164 | CA | Therapeutic Radiology Physician |
| B1982005164 | CA | Pain Medicine Physician |
| B1982005164 | CA | Interventional Pain Medicine Physician |
This provider holds licence B1982005164 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0143134353
- Enrollment ID
- O20031112000793
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Diagnostic Radiology covers
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
All registered taxonomy codes
This provider registers 14 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | — | — | primary |
| 207U00000X | Nuclear Medicine Physician | B1982005164 | CA | |
| 207UN0901X | Nuclear Cardiology Physician Nuclear Cardiology | B1982005164 | CA | |
| 207UN0902X | Nuclear Imaging & Therapy Physician Nuclear Imaging & Therapy | B1982005164 | CA | |
| 2085B0100X | Body Imaging Physician Body Imaging | — | — | |
| 2085N0700X | Neuroradiology Physician Neuroradiology | — | — | |
| 2085N0904X | Nuclear Radiology Physician Nuclear Radiology | — | — | |
| 2085P0229X | Pediatric Radiology Physician Pediatric Radiology | B1982005164 | CA | |
| 2085R0001X | Radiation Oncology Physician Radiation Oncology | B1982005164 | CA | |
| 2085R0203X | Therapeutic Radiology Physician Therapeutic Radiology | B1982005164 | CA | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | — | — | |
| 2085U0001X | Diagnostic Ultrasound Physician Diagnostic Ultrasound | — | — | |
| 208VP0000X | Pain Medicine Physician Pain Medicine | B1982005164 | CA | |
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | B1982005164 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1417988221 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 6, 2006 |
| Last updated | Apr 21, 2017 |
| Status | Active |
| Practice address |
250 PROSPECT PL SHARP CORONADO HOSPITAL Coronado, CA 92118 (619) 522-3721 Fax (619) 522-3780 |
| Mailing address |
PO BOX 23540 San Diego, CA 92193 |
| Other identifiers |
GR0083813
· Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 9 | 8 | 8 | 2 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 9 | 8 | 7 | 2 | 4 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.