RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC. (NPI# 1265857759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265857759 |
Entity Type | Organization |
Organization Name | RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC. |
Other Organization Name | AGILE RADIOLOGY |
Practice Address |
911 Sunset Dr Hollister CA 95023-5606 |
Mailing Address |
1661 Soquel Dr Ste G Santa Cruz CA 95065-1709 |
Practice Telephone | 8316375711 |
Mailing Telephone | 8314761542 |
Mailing Fax Number | 8314648977 |
Enumeration Date | 2014-02-20 |
Last Update Date | 2014-06-04 |
Authorized Official Name | DR. ROY E MARTINEZ (PRESIDENT) |
Authorized Official Telephone | 8314761542 |
Authorized Official Credential | M.D. |
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 | BLUE SHIELD OF CALIFORNIA | ZZZ81760Y | 01 |
Other Name | Type Code |
---|---|
Agile Radiology | Doing Business As Name - Organization |
Street Address |
911 SUNSET DR |
City | HOLLISTER |
State | CA |
Zip Code | 95023-5606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396739074 | Cytodiagnostics | Pathology | 911 Sunset Dr, Hollister, CA 95023-5606 | 2005-09-08 |
1487196408 | Hazel Hawkins Memorial Hospital | Clinic/Center | 911 Sunset Dr, Hollister, CA 95023-5606 | 2016-11-08 |
1932569357 | Oskar Lizarraga-davis | Physician Assistant | 911 Sunset Dr, Hollister, CA 95023-5606 | 2016-02-26 |
1417314501 | Hazel Hawkins Memorial Hospital | Pharmacy | 911 Sunset Dr, Hollister, CA 95023-5606 | 2016-01-21 |
1730555863 | Jesus Leon, Md Inc | Radiology | 911 Sunset Dr, Hollister, CA 95023-5606 | 2015-08-12 |
1033501168 | Big River Emergency Physicians Inc | Emergency Medicine | 911 Sunset Dr, Hollister, CA 95023-5606 | 2015-02-26 |
1609284645 | Christopher Perry | Physician Assistant | 911 Sunset Dr, Hollister, CA 95023-5606 | 2014-07-22 |
1134490253 | Sanaz Molavi Underwood | Nurse Practitioner | 911 Sunset Dr, Hollister, CA 95023-5606 | 2012-01-20 |
1205123239 | Ace Anesthesia Group Inc | Anesthesiology | 911 Sunset Dr, Hollister, CA 95023-5606 | 2011-06-28 |
1174815120 | Hazel Hawkins Hospital | General Acute Care Hospital | 911 Sunset Dr, Hollister, CA 95023-5606 | 2011-05-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750905535 | Vincent Matthew Howard | Registered Nurse | 3086 Palomino Way, Hollister, CA 95023 | 2020-06-08 |
1013430388 | Anita Mora | Counselor | 1850 San Benito St., Hollister, CA 95023 | 2017-07-19 |
1720517121 | Brendon Taguinod | Specialist/Technologist | 430 Union Heights, Hollister, CA 95023 | 2017-06-08 |
1629417670 | Dina Nicole Casparro | Podiatrist | 581 Mccray St Ste F, Hollister, CA 95023 | 2013-06-21 |
1881032944 | Ichhya Pathak-paudel | Dentist | 1210, 106 East Park St, Ste 106, Hollister, CA 95023 | 2013-06-11 |
1528363579 | Andrea Stone | Massage Therapist | 339 Seventh St, C, Hollister, CA 95023 | 2011-01-24 |
1427203165 | Beray Mirella Castillo | Case Manager/Care Coordinator | 351 Felice Drive, Hollistere, CA 95023 | 2008-11-21 |
1073669552 | Wennifred S Hsu Dds Inc | Dentist | 1760 Airline Highway, Suite G, Hollister, CA 95023 | 2007-01-26 |
1740349141 | Robert Francis Barry Jr. | Acupuncturist | 330 Tres Pinos Rd, Suite B25, Hollister, CA 95023 | 2006-12-08 |
1962501635 | Mohammad Aslam Barra | Obstetrics & Gynecology | 930 Sunnyslope Rd E 1, Hollister, CA 95023 | 2006-09-21 |
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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 |
---|---|---|---|---|
1437117041 | Jesus M Leon | Radiology | 911 Sunset Drive, Hollister, CA 95023 | 2006-05-03 |
1730555863 | Jesus Leon, Md Inc | Radiology | 911 Sunset Dr, Hollister, CA 95023-5606 | 2015-08-12 |
1295783660 | Robert B Skor | Radiology | 911 Sunset Dr, Hollister, CA 95023 | 2006-05-05 |
1689622045 | Gabilan Radiology Medical Group | Radiology | 911 Sunset Dr, Hollister, CA 95023 | 2006-05-05 |
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1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
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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.