Healthcare Provider Details

I. General information

NPI: 1164475174
Provider Name (Legal Business Name): OPEN AIR MRI CENTERS MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6386 ALVARADO CT 107
SAN DIEGO CA
92120-4905
US

IV. Provider business mailing address

PO BOX 910514
SAN DIEGO CA
92191-0514
US

V. Phone/Fax

Practice location:
  • Phone: 619-229-2299
  • Fax: 619-229-2288
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JON M ROBINS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 619-229-2299