REVEAL DIAGNOSTICS LLC (NPI# 1215362942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215362942 |
| Entity Type | Organization |
| Organization Name | REVEAL DIAGNOSTICS LLC |
| Practice Address |
4217 Piedmont Avenue Suite B Oakland CA 94611 |
| Mailing Address |
490 Post St Suite 301 San Francisco CA 94102-1401 |
| Practice Telephone | 4158375990 |
| Practice Fax Number | 8888086160 |
| Mailing Telephone | 4158375990 |
| Mailing Fax Number | 8888086160 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |
| Authorized Official Name | MARSHALL BRICKEEN (OWNER) |
| Authorized Official Telephone | 4086870322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Street Address |
4217 PIEDMONT AVENUE SUITE B |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114040441 | Thomas H. Urbania | Radiology | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-04-10 |
| 1760509277 | James S. Chen | Radiology | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795881 | Valerie Rondone | Radiology | 2574 Raleigh Way, El Dorado Hills, CA 95762-6973 | 2020-09-23 |
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1417416124 | Adventist Health Physicians Network | Radiology | 155 Solano St Ste 101, Corning, CA 96021-3511 | 2019-03-13 |
| 1770068991 | Reham Aboughali | Radiology | 20349 Anza Ave Apt 27, Torrance, CA 90503-7410 | 2018-10-03 |
| 1962910513 | Excel Imaging Center Inc | Radiology | 13071 Brookhurst St Ste 100, Garden Grove, CA 92843-5514 | 2018-01-17 |
| 1467972315 | Radtech Services Inc | Radiology | 2826 Racine St, Simi Valley, CA 93065-2730 | 2017-06-22 |
| 1619363496 | Nathan Ashley | Radiology | 620 N Bonhill Rd, Los Angeles, CA 90049-2302 | 2015-04-08 |
| 1851709984 | Reveal Diagnostics, LLC | Radiology | 6080 Hellyer Ave, Suite 175, San Jose, CA 95138-1052 | 2014-08-01 |
| 1770912784 | William George Hayden | Radiology | 20 Ciervos Rd, Portola Valley, CA 94028-8107 | 2013-11-11 |
| 1134551724 | Bilal Ahmed | Radiology | 250 Irving St, Apt/suite 9, San Francisco, CA 94122-2659 | 2013-08-06 |
| Find all providers with the same taxonomy | ||||
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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.