SAN DIEGO REGIONAL P.E.T. CENTER, LLC – Nuclear Medicine Physician, NPI 1104879121

SAN DIEGO REGIONAL P.E.T. CENTER, LLC is a healthcare provider. based in San diego, California. specializing in Nuclear Medicine Physician. The NPI Number for SAN DIEGO REGIONAL P.E.T. CENTER, LLC is 1104879121

Main info

Organization
Name
SAN DIEGO REGIONAL P.E.T. CENTER, LLC
NPI
1104879121
Phone
Not provided
Address
PO BOX 910026
Authorized Official
MR. TOM CLEARY MANAGER
Enumeration Date
19 May 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for SAN DIEGO REGIONAL P.E.T. CENTER, LLC

  • PO BOX 910026

    SAN DIEGO, CA 921910026

    Phone:

    Type: Mailing

  • 7625, Mesa College Drive, Linda Vista, San Diego, San Diego County, California, 92111, United States

    102

    SAN DIEGO, CA 921115343

    Phone: (858) 499-0230

    Fax: (858) 499-0231

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92191)

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Reviews

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Frequently asked questions

What unique ID ties claims to SAN DIEGO REGIONAL P.E.T. CENTER, LLC?
NPI 1104879121 is assigned to SAN DIEGO REGIONAL P.E.T. CENTER, LLC under the national enumeration system.
Is SAN DIEGO REGIONAL P.E.T. CENTER, LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SAN DIEGO REGIONAL P.E.T. CENTER, LLC work in?
You can think of SAN DIEGO REGIONAL P.E.T. CENTER, LLC as practicing within Nuclear Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is SAN DIEGO REGIONAL P.E.T. CENTER, LLC's primary listing?
We display San Diego, California because that is what the record indicates for SAN DIEGO REGIONAL P.E.T. CENTER, LLC.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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