MODESTO RADIOLOGICAL MEDICAL GROUP, INC (NPI# 1255872552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255872552 |
| Entity Type | Organization |
| Organization Name | MODESTO RADIOLOGICAL MEDICAL GROUP, INC |
| Practice Address |
3421 Deep Waters Ct Simi Valley CA 93065-0587 |
| Mailing Address |
Po Box 7326 San Francisco CA 94120-7326 |
| Practice Telephone | 5594554009 |
| Practice Fax Number | 9165330313 |
| Mailing Telephone | 5594554009 |
| Mailing Fax Number | 9165330313 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | MARK E MOORE (CFO/COO) |
| Authorized Official Telephone | 5594554009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134670656 | Modesto Radiological Medical Group, Inc | Radiology | 8673 Julie Lynne Cir, Tracy, CA 95304-9207 | 2016-10-19 |
| 1073969838 | Modesto Radiological Medical Group, Inc | Radiology | 148 Beachview Ave, Santa Cruz, CA 95060-3008 | 2016-05-11 |
| 1992170542 | Modesto Radiological Medical Group, Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2015-12-08 |
| 1023482296 | Modesto Radiological Medical Group, Inc | Radiology | 6729 Monte Rd, San Luis Obispo, CA 93401-8050 | 2015-11-25 |
| 1861866022 | Modesto Radiological Medical Group, Inc | Radiology | 1648 Dalton Rd, Palos Verdes Estates, CA 90274-1835 | 2015-11-25 |
| 1760856934 | Modesto Radiological Medical Group, Inc | Radiology | 2132 Lysander Way, Roseville, CA 95661-3220 | 2015-11-25 |
| 1154808095 | Modesto Radiological Medical Group, Inc | Radiology | 3750 Whitman Cir, Carmel, CA 93923-8326 | 2018-07-24 |
| 1881198604 | Modesto Radiological Medical Group, Inc | Radiology | 1202 Chelshurst Way, Spring, TX 77379-3247 | 2018-03-19 |
| 1063953362 | Modesto Radiological Medical Group, Inc | Radiology | 1200 4th St, Apt 103, San Francisco, CA 94158-2392 | 2017-03-20 |
| 1265973556 | Modesto Radiological Medical Group, Inc | Radiology | 6043 E Birdcage Ct, Orange, CA 92869-6015 | 2017-03-20 |
| Street Address |
3421 DEEP WATERS CT |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93065-0587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437613536 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 3421 Deep Waters Ct, Simi Valley, CA 93065-0587 | 2019-01-23 |
| 1790254860 | Radiological Associates Medical Group, Inc | Radiology | 3421 Deep Waters Ct, Simi Valley, CA 93065-0587 | 2018-11-19 |
| 1841768199 | Radiological Associates Medical Group, Inc | Radiology | 3421 Deep Waters Ct, Simi Valley, CA 93065-0587 | 2018-11-05 |
| 1083143531 | Iv Radiology Medical Group | Radiology | 3421 Deep Waters Ct, Simi Valley, CA 93065-0587 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312243 | Healing Hands Health Care Corp | Hospice Care, Community Based | 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 | 2020-09-29 |
| 1487261731 | Healing Love Health Care Services, Inc. | Hospice Care, Community Based | 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 | 2020-09-29 |
| 1528682499 | Nicole G. Nalbandian | Dentist | First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 | 2020-06-05 |
| 1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
| 1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
| 1962920553 | Taylor Pediatrics | Pediatrics | 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 | 2017-09-02 |
| 1487181301 | Renee Brooks | Marriage & Family Therapist | Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 | 2017-05-23 |
| 1225577208 | Amanda Blake | Dietitian, Registered | 2592 Victoria St, Simi Valley, CA 93065 | 2017-02-23 |
| 1245778364 | Tyler James Arauza | Behavior Technician | 2856 Thicket Pl., Simi Valley, CA 93065 | 2017-02-09 |
| 1992169007 | Sahar Yaftaly | Dentist | 2045 Royal Ave Ste 109, Simi Valley, CA 93065 | 2016-04-06 |
| Find all providers in zip 93065 | ||||
| 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 |
|---|---|---|---|---|
| 1760459754 | Gerald S Goldstein | Radiology | 4100 Guardian St, Suite 205, Simi Valley, CA 93063-6717 | 2006-03-08 |
| 1437613536 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 3421 Deep Waters Ct, Simi Valley, CA 93065-0587 | 2019-01-23 |
| 1790254860 | Radiological Associates Medical Group, Inc | Radiology | 3421 Deep Waters Ct, Simi Valley, CA 93065-0587 | 2018-11-19 |
| 1841768199 | Radiological Associates Medical Group, Inc | Radiology | 3421 Deep Waters Ct, Simi Valley, CA 93065-0587 | 2018-11-05 |
| 1083143531 | Iv Radiology Medical Group | Radiology | 3421 Deep Waters Ct, Simi Valley, CA 93065-0587 | 2017-06-08 |
| 1184964066 | Payam Kashfian, M.d., Inc. | Radiology | 2525 Erringer Rd, Suite A, Simi Valley, CA 93065-2352 | 2013-02-28 |
| 1801840186 | Eric Cordes | Radiology | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | 2006-05-20 |
| 1730132275 | Simi Radiology and Imaging Medical Group | Radiology | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | 2006-05-18 |
| 1013968957 | Daniel Kim | Radiology | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | 2006-05-15 |
| 1477502300 | Robert Acquarelli | Radiology | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | 2006-05-08 |
| Find all providers in SIMI VALLEY | ||||
| City | SIMI VALLEY |
| Zip Code | 93065 |
Please comment or provide details below to improve the information on MODESTO RADIOLOGICAL MEDICAL GROUP, INC.
| 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.