HD ULTRASOUND, LLC (NPI# 1053604652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053604652 |
Entity Type | Organization |
Organization Name | HD ULTRASOUND, LLC |
Other Organization Name | MINT MEDICAL |
Practice Address |
625 Lincoln Ave Suite 201 San Jose CA 95126-3705 |
Mailing Address |
360 Post St Suite 1001 San Francisco CA 94108-4912 |
Practice Telephone | 4082887705 |
Practice Fax Number | 5102179708 |
Mailing Telephone | 4156716819 |
Mailing Fax Number | 5102179708 |
Enumeration Date | 2011-05-16 |
Last Update Date | 2016-08-04 |
Authorized Official Name | BRAD HUMMEL (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 4156716819 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Mint Medical | Doing Business As Name - Organization |
Street Address |
625 LINCOLN AVE SUITE 201 |
City | SAN JOSE |
State | CA |
Zip Code | 95126-3705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700850708 | Brian Farris | Internal Medicine | 625 Lincoln Ave, San Jose, CA 95126-3705 | 2006-02-15 |
1447817309 | Liane Christine Tongol | Physician Assistant | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2019-05-24 |
1689014755 | Sheetal Ankolekar | Family Medicine | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2013-07-03 |
1902145592 | Thanh-tam Ngoc Nguyen | Family Medicine | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2013-02-03 |
1023360930 | Daniel Hudson Morgan | Family Medicine | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2012-10-03 |
1326312067 | Verity Medical Foundation | Clinic/Center | 625 Lincoln Ave, San Jose, CA 95126-3705 | 2012-02-27 |
1437469129 | Steven How-han Sheh | Internal Medicine | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2010-10-14 |
1568503654 | Physicians Medical Group of San Jose, Inc. | Non-Pharmacy Dispensing Site | 625 Lincoln Ave, San Jose, CA 95126-3705 | 2007-02-09 |
1871658864 | Ruta V Wakharkar | Internal Medicine | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2006-12-27 |
1598841215 | San Jose Medical Clinic, Inc. | Allergy & Immunology | 625 Lincoln Ave, San Jose, CA 95126-3705 | 2006-10-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
Find all providers in zip 95126 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871899799 | Shermin Mobile Imaging, LLC | Clinic/Center | 1879 Lundy Ave Ste 218, Suite 218, San Jose, CA 95131-1881 | 2011-02-10 |
1548566144 | Iscan Imaging LLC | Clinic/Center | 2005 Naglee Ave Ste 50, San Jose, CA 95128-4801 | 2011-01-31 |
1891915005 | Osteoporosis Center of San Jose | Clinic/Center | 25 N 14th St Ste 890, San Jose, CA 95112-6216 | 2007-04-27 |
1083720304 | Premierescan PC | Clinic/Center | 2324 Montpelier Dr Ste 7, San Jose, CA 95116-1612 | 2006-08-21 |
1356352975 | Karl P. Nguyen, M.d., Inc | Clinic/Center | 1695 Alum Rock Ave Ste 3, San Jose, CA 95116-2445 | 2006-08-10 |
1396703179 | Valley Radiology Medical Associates, Inc. | Clinic/Center | 2281 Paragon Dr, Suite 400, San Jose, CA 95131-1307 | 2006-05-02 |
1184904518 | Medpixels Medical Services, PC | Clinic/Center | 2211 Moorpark Ave, Suite 290, San Jose, CA 95128-2663 | 2011-08-17 |
1477693513 | Pet Imaging of San Jose, LLC | Clinic/Center | 2211 Moorpark Ave, Suite 220, San Jose, CA 95128-2654 | 2007-02-07 |
1477632776 | County of Santa Clara | Clinic/Center | 751 S Bascom Ave, Diagnostic Imaging Department, San Jose, CA 95128-2604 | 2006-11-06 |
1558380592 | Hd Ultrasound LLC | Clinic/Center | 625 Lincoln Ave, San Jose, CA 95126-3705 | 2006-07-19 |
Find all providers in SAN JOSE |
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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.