CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC. (NPI# 1215982061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215982061 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC. |
| Practice Address |
1240 S Eliseo Dr Suite 103 Greenbrae CA 94904-2028 |
| Mailing Address |
Po Box 6102 Novato CA 94948-6102 |
| Practice Telephone | 4154617770 |
| Mailing Telephone | 4158843418 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | MICHAEL P BELICK (C.E.O.) |
| Authorized Official Telephone | 4158843096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | CI2439 | 01 |
| CA | GR0003143 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780621763 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 550 S Winchester Blvd Ste 110, San Jose, CA 95128-2526 | 2006-05-31 |
| 1629025457 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 1720 El Camino Real Ste 118, Burlingame, CA 94010-3225 | 2006-05-27 |
| 1689628679 | California Advanced Imaging Medical Assoc., Inc. | Clinic/Center | 1260 S Eliseo Dr Ste 101, Greenbrae, CA 94904-2009 | 2006-05-22 |
| 1619921186 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 863 Corriente Point Dr, Redwood City, CA 94065-1284 | 2006-05-20 |
| 1346490174 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 611 Abbott St Ste 102, Salinas, CA 93901-4391 | 2008-09-29 |
| 1851332258 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 2170 South Ave, S Lake Tahoe, CA 96150-7026 | 2006-06-09 |
| 1487693933 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 180 Rowland Way, Radiology Dept., Novato, CA 94945-5009 | 2006-06-06 |
| 1689613929 | California Advanced Imaging Medical Assoc., Inc. | Clinic/Center | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1141 | 2006-06-05 |
| 1396783288 | California Advanced Imaging Medical Assoc., Inc. | Nuclear Medicine | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2006-06-03 |
| 1538107396 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | California Advanced Imaging Medical Associates, Inc. | 500 Redwood Blvd, Suite 300, Novato, CA 94947 |
| Street Address |
1240 S ELISEO DR SUITE 103 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194702431 | Stephen Ronald Bearg | Obstetrics & Gynecology | 1240 S Eliseo Dr, Suite 201, Greenbrae, CA 94904-2028 | 2005-12-28 |
| 1790092104 | Cynthia M Hom-goodman Md Inc | Specialist | 1240 S Eliseo Dr, Suite 201, Greenbrae, CA 94904-2028 | 2010-09-07 |
| 1841522638 | California Pacific Orthopaedics & Sports Medicine | Durable Medical Equipment & Medical Supplies | 1240 S Eliseo Dr, Suite 101, Greenbrae, CA 94904-2028 | 2010-02-04 |
| 1164549630 | Natalya Lvoff | Radiology | 1240 S Eliseo Dr, Suite 203, Greenbrae, CA 94904-2028 | 2007-03-22 |
| 1447278429 | Cynthia M Goodman | Plastic Surgery | 1240 S Eliseo Dr, Ste 201, Greenbrae, CA 94904-2028 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| 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 |
|---|---|---|---|---|
| 1982745964 | Anthony Michael Sajewicz | Radiology | 31 Corte Lodato, Greenbrae, CA 94904-1225 | 2007-02-10 |
| 1346424991 | Philip Kurzman | Radiology | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2007-12-18 |
| 1164549630 | Natalya Lvoff | Radiology | 1240 S Eliseo Dr, Suite 203, Greenbrae, CA 94904-2028 | 2007-03-22 |
| 1427091016 | William James Demartini | Radiology | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-06-13 |
| 1386686525 | Chad James Goodman | Radiology | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-06-12 |
| 1245271634 | Brian John Salmen | Radiology | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-06-09 |
| 1144267097 | Dennis Steven Orwig | Radiology | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-05-31 |
| 1679550032 | Russell C Fritz | Radiology | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2005-12-28 |
| 1275519001 | Jay A Kaiser | Radiology | 1260 S Eliseo Dr, Suite 100, Greenbrae, CA 94904-2009 | 2005-12-22 |
| 1659357481 | Betsy A Holland | Radiology | 1260 S Eliseo Dr, Suite 101, Greenbrae, CA 94904-2009 | 2005-12-22 |
| Find all providers in GREENBRAE | ||||
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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.