VALLEJO OPEN MRI CENTER (NPI# 1164478277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164478277 |
| Entity Type | Organization |
| Organization Name | VALLEJO OPEN MRI CENTER |
| Practice Address |
155 Glen Cove Marina Rd E Suite 101 Vallejo CA 94591-7284 |
| Mailing Address |
1516 Cotner Ave Los Angeles CA 90025-3303 |
| Practice Telephone | 7076441292 |
| Practice Fax Number | 7076441362 |
| Mailing Telephone | 3104452951 |
| Mailing Fax Number | 3104791459 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | DR. HOWARD G. BERGER (PRESIDENT) |
| Authorized Official Telephone | 3104452800 |
| 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 |
| Street Address |
155 GLEN COVE MARINA RD E SUITE 101 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94591-7284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586802 | Paige Yoshisato | Legal Medicine | 155 Glen Cove Marina Rd E, Ste 100, Vallejo, CA 94591-7284 | 2005-05-23 |
| 1407297005 | Amar Anand | Psychologist | 155 Glen Cove Marina Rd E, Vallejo, CA 94591-7284 | 2013-07-11 |
| 1164475307 | Traihoa Thi Nguyen | Pediatrics | 155 Glen Cove Marina Rd E, Suite 100, Vallejo, CA 94591-7284 | 2006-05-18 |
| 1225031362 | Fred Bayon | Legal Medicine | 155 Glen Cove Marina Rd E, Ste 100, Vallejo, CA 94591-7284 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356901 | Andrew Garcia | Behavior Technician | 150 Glen Gove Marina Rd., #102, Vallejo, CA 94591 | 2020-11-03 |
| 1396353504 | Marlesia Marvae Gonzales | Behavior Technician | 150 Glen Cove Marina Rd., #102, Vallejo, CA 94591 | 2020-07-14 |
| 1033741061 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 910 Admiral Callaghan Lane, Vallejo, CA 94591 | 2020-02-07 |
| 1639633860 | Angelo Duaso | Respiratory Therapist, Certified | 712 North Regatta Drive, Vallejo, CA 94591 | 2019-01-22 |
| 1467923615 | Maria Perez | Behavioral Analyst | 150 Glen Code Marina Rd #102, Vallejo, CA 94591 | 2018-12-16 |
| 1285119966 | Josie Gerber | Registered Nurse | 9268 Hallmark Place, Vallejo, CA 94591 | 2018-09-28 |
| 1912491911 | Lamigo LLC | Optometrist | 121 Plaza Dr Ste 505, Vallejo, CA 94591 | 2018-06-22 |
| 1942655055 | Brisbain Rigor Pucan | Dentist | 2143 Springs Rd, #51, Vallejo, CA 94591 | 2016-04-26 |
| 1811323066 | Bianca Tayne Payne | Counselor | 408 Tennesse St, Vallejo, CA 94591 | 2013-09-19 |
| 1285973602 | Kushwantjit Singh Randhawa | Dentist | 300 Hillary Way Apt 91, Vallejo, CA 94591 | 2013-02-05 |
| Find all providers in zip 94591 | ||||
| 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 |
|---|---|---|---|---|
| 1164678058 | Bay Imaging Consultants Medical Group Inc | Radiology | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2008-08-12 |
| 1245491349 | Hillary Boortz Ryan | Radiology | 975 Sereno Dr, Department of Radiology, Vallejo, CA 94589-2441 | 2008-06-20 |
| 1063601268 | Marzban Rad | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-10-24 |
| 1750573549 | Robert Avery Brown | Radiology | 975 Sereno Dr, Kaiser Permanente, Vallejo, CA 94589 | 2007-08-15 |
| 1366640641 | Eric Hwa Chen | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-07-06 |
| 1316097124 | Richard C. Placone Jr. | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-12 |
| 1962574707 | Patricia Robinson Silver | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-15 |
| 1447322193 | Susan Hattori-oyama | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-15 |
| 1356413108 | Jill E. Spadia | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-15 |
| 1356429252 | Robert J. Wong | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| Find all providers in VALLEJO | ||||
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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.