BODYPLAN INSTITUTE OF WALNUT CREEK, LLC (NPI# 1174571871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174571871 |
| Entity Type | Organization |
| Organization Name | BODYPLAN INSTITUTE OF WALNUT CREEK, LLC |
| Other Organization Name | WALNUT CREEK MEDICAL IMAGING |
| Practice Address |
1255 S Main St #202 Walnut Creek CA 94596-5116 |
| Practice Telephone | 9256272777 |
| Practice Fax Number | 9256272788 |
| Mailing Telephone | 9256272777 |
| Mailing Fax Number | 9256272788 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RENEE (NONE) KAVON (V.P. MARKETING & CONTRACTING) |
| Authorized Official Telephone | 5303675295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Walnut Creek Medical Imaging | Doing Business As Name - Organization |
| Street Address |
1255 S MAIN ST #202 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| 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 |
|---|---|---|---|---|
| 1982152179 | Regional Diagnostic Imaging | Radiology | 215 Tiburon Ct, Walnut Creek, CA 94597-3437 | 2016-09-15 |
| 1871998328 | Quantum Medical Radiology of California, PC | Radiology | 1051 Esplanade Pl, Walnut Creek, CA 94597-2701 | 2014-10-27 |
| 1669674651 | Joshua Dennis Morais | Radiology | 15 Beshiem Ln, Walnut Creek, CA 94595-3852 | 2007-06-03 |
| 1376667022 | Norcal Imaging | Radiology | 114 La Casa Via, Suites # 100 & 200, Walnut Creek, CA 94598-3087 | 2007-03-19 |
| 1508893710 | Jimmy Cardoza | Radiology | 2125 Oak Grove Rd Ste 200, Walnut Creek, CA 94598-2520 | 2006-06-26 |
| 1881638062 | Catherine Marie Mills | Radiology | 2125 Oak Grove Road, Suite 200, Walnut Creek, CA 94598 | 2006-06-16 |
| 1528000528 | Edward M Miller | Radiology | 1610 Ygnacio Valley Rd, Walnut Creek, CA 94598-3123 | 2006-06-12 |
| 1104871060 | Neuroscan | Radiology | 115 La Casa Via, Suite 202, Walnut Creek, CA 94598-3042 | 2006-05-22 |
| 1336131689 | Less T Chafen | Radiology | 2125 Oak Grove Rd, #200, Walnut Creek, CA 94598-2536 | 2005-08-22 |
| 1831756139 | Bay Imaging Consultants Medical Group Inc | Radiology | 2125 Oak Grove Rd Ste 200, Walnut Creek, CA 94598-2520 | 2019-05-22 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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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.