KENNEWICK RADIOLOGY GROUP, PC (NPI# 1033683396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033683396 |
| Entity Type | Organization |
| Organization Name | KENNEWICK RADIOLOGY GROUP, PC |
| Practice Address |
4608 T St Sacramento CA 95819-4744 |
| Mailing Address |
Po Box 4030 Pasco WA 99302-4030 |
| Practice Telephone | 5594554009 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | SANDIP PATIDAR (OWNER) |
| Authorized Official Telephone | 5594554009 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711854 | Kennewick Radiology Group, PC | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2020-02-06 |
| 1205395803 | Kennewick Radiology Group, PC | Radiology | 3224 Freshwater Crk, Chico, CA 95973-2120 | 2019-03-14 |
| 1295209559 | Kennewick Radiology Group, PC | Radiology | 3731 Torrey View Ct, San Diego, CA 92130-2623 | 2019-01-18 |
| 1851865117 | Kennewick Radiology Group, PC | Radiology | 215 Tiburon Ct, Walnut Creek, CA 94597-3437 | 2019-01-18 |
| 1588138846 | Kennewick Radiology Group, PC | Radiology | 3750 Whitman Cir, Carmel, CA 93923-8326 | 2019-01-18 |
| 1124592480 | Kennewick Radiology Group, PC | Radiology | 7204 Blairview Dr, Dallas, TX 75230-5415 | 2019-01-18 |
| 1669946927 | Kennewick Radiology Group, PC | Radiology | 7 Nightshore, Newport Coast, CA 92657-1519 | 2019-01-18 |
| 1114491479 | Kennewick Radiology Group, PC | Radiology | 765 La Mirada Ave, San Marino, CA 91108-1729 | 2019-01-18 |
| Street Address |
4608 T ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95819-4744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184153629 | Iv Radiology Medical Group | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2017-06-08 |
| 1912461013 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2019-01-23 |
| 1982173050 | Radiological Associates Medical Group, Inc | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2018-11-19 |
| 1669940912 | Radiological Associates Medical Group, Inc | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2018-11-05 |
| 1720577745 | Century Radiology Medical Group, Inc | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2018-05-04 |
| 1417460080 | Los Robles Radiologic Associates | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2017-11-06 |
| 1043732019 | St. Jude Radiology Medical Group, Inc. | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
| 1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
| 1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
| 1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| Find all providers in zip 95819 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246209 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 3111 S St Apt 307, Sacramento, CA 95816-7065 | 2018-08-22 |
| 1992210850 | Jessica Deyanira Izquierdo | Radiology | 8233 Scottsdale Dr, Sacramento, CA 95828-4530 | 2017-12-13 |
| 1184153629 | Iv Radiology Medical Group | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2017-06-08 |
| 1396086443 | Vincent L Quilici | Radiology | 3601 Meadow Ln, Sacramento, CA 95864-1522 | 2013-03-13 |
| 1740416544 | Himaja Peddi | Radiology | 2800 L Street, Suite 610, Sutter Medical Foundation, Sacramento, CA 95816-5616 | 2009-06-08 |
| 1679735666 | Kathleen Khong | Radiology | 4860 Y St # 3100, Sacramento, CA 95817-2307 | 2008-06-30 |
| 1548443807 | Alexander M Kane | Radiology | 509 21st St, Sacramento, CA 95811-1118 | 2007-12-10 |
| 1245420447 | Jeffrey Steven Fountain | Radiology | 816 D St, Apt 13, Sacramento, CA 95814-0719 | 2007-07-25 |
| 1487856704 | Kamran Ahmed | Radiology | 2800 L Street Suite 610, Sacramento, CA 95816 | 2007-06-01 |
| 1548485733 | Tien Hong Tran | Radiology | 2800 L St Ste 610, Sacramento, CA 95816-5616 | 2007-04-14 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95819 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.