Source Diagnostics West LLC
NPI 1598063133 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Lq, CA
Source Diagnostics West LLC is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier organization in Lq, CA (NPI 1598063133).
Provider details
- NPI number
- 1598063133
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Paul Mezacapa, Managing Member(760) 777-4352
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense 00080313 (CA)
Suppliers
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
- Sonography Radiologic Technologist2471S1302X
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-03-07
- Last updated
- 2011-05-18
Frequently asked questions
- What is Source Diagnostics West LLC's NPI number?
- Source Diagnostics West LLC's National Provider Identifier (NPI) is 1598063133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Source Diagnostics West LLC?
- Source Diagnostics West LLC is classified in the NPPES registry as Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Suppliers).
- Where is Source Diagnostics West LLC located?
- Source Diagnostics West LLC's practice location on file with NPPES is 49440 Via Pompa, Lq, CA 92253.
- What is Source Diagnostics West LLC's phone number?
- The practice phone number listed in the NPPES registry for Source Diagnostics West LLC is (760) 777-4352.
- Who is the authorized official for Source Diagnostics West LLC?
- The authorized official listed on Source Diagnostics West LLC's NPPES record is Paul Mezacapa, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Source Diagnostics West LLC's NPI active?
- Yes — Source Diagnostics West LLC's NPI (1598063133) is active in the NPPES registry as of the last update on 2011-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.