SPORTS IMAGING, LLC (NPI# 1346329901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346329901 |
| Entity Type | Organization |
| Organization Name | SPORTS IMAGING, LLC |
| Practice Address |
2675 Stevenson Blvd Fremont CA 94538-2323 |
| Mailing Address |
39350 Civic Center Dr Ste 280 Fremont CA 94538-2331 |
| Practice Telephone | 5107956534 |
| Practice Fax Number | 5107946822 |
| Mailing Telephone | 5104564650 |
| Mailing Fax Number | 5104561006 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-06-20 |
| Authorized Official Name | JOHN MAZOROS (ADMINISTRATOR) |
| Authorized Official Telephone | 5104564600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
42368 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2675 STEVENSON BLVD |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083663728 | David L. Berger Md, Inc. | Anesthesiology | 2675 Stevenson Blvd, Fremont, CA 94538-2323 | 2006-05-09 |
| 1912397688 | Plexus Anesthesia Medical | Anesthesiology | 2675 Stevenson Blvd, 2nd Floor, Fremont, CA 94538-2317 | 2015-02-02 |
| 1891119418 | Arthur J Ting Md Inc | Specialist | 2675 Stevenson Blvd, Fremont, CA 94538-2317 | 2014-02-18 |
| 1700134103 | Knee Centers Nocal Medical Professional Corporation | Physical Medicine & Rehabilitation | 2675 Stevenson Blvd, Fremont, CA 94538-2317 | 2012-08-16 |
| 1548551377 | Fremont Asc Partners, LLC | Clinic/Center | 2675 Stevenson Blvd, Second Floor, Fremont, CA 94538-2317 | 2011-04-27 |
| 1336309814 | Meghana Sukhtankar | Physical Therapist | 2675 Stevenson Blvd, Fremont, CA 94538-2323 | 2008-06-10 |
| 1598828022 | Vijayalakshmi M Reddy | Anesthesiology | 2675 Stevenson Blvd, Fremont, CA 94538-2323 | 2006-12-18 |
| 1053482208 | Windsor Anesthesia Medical Group, Inc. | Anesthesiology | 2675 Stevenson Blvd, Fremont, CA 94538-2323 | 2006-11-10 |
| 1700825320 | Susan Satterfield | Anesthesiology | 2675 Stevenson Blvd, Fremont, CA 94538-2323 | 2006-06-06 |
| 1447206701 | Audrey F Bevan-thomas | Anesthesiology | 2675 Stevenson Blvd, Fremont, CA 94538-2323 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134508039 | Michael Larsen | Radiologic Technologist | 11019 Dove Tail Ter, San Diego, CA 92128-4019 | 2015-05-25 |
| 1619204997 | Platinum Medical Management, Inc. | Radiologic Technologist | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2009-11-07 |
| 1790918852 | Derrik Espinoza Asher | Radiologic Technologist | 6251 Adobe Cir, Irvine, CA 92617-5105 | 2009-08-24 |
| 1750534301 | La Mri Cener Inc | Radiologic Technologist | 1539 Beverly Blvd, Los Angeles, CA 90026-5704 | 2008-10-28 |
| 1073798237 | Martin Andrew Reina | Radiologic Technologist | 363 E Badillo St, Covina, CA 91723-2208 | 2008-01-07 |
| 1629292297 | Valley Radiologist Medical Associates | Radiologic Technologist | 35 Baywood Ave # 2, San Mateo, CA 94402-1516 | 2007-04-12 |
| 1023189560 | Advanced Radiology Healthcare, LLC | Radiologic Technologist | 3885 Cochran St Ste J, Pmb 347, Simi Valley, CA 93063-2367 | 2006-11-13 |
| 1780609644 | Open Advantage Mri IIi, Inc | Radiologic Technologist | 10 Pointe Dr, #110, Brea, CA 92821-3690 | 2006-07-13 |
| 1346265113 | Open Advantage Mri V | Radiologic Technologist | 3115 W March Ln, Suite 110, Stockton, CA 95219-2372 | 2006-07-13 |
| 1336164284 | Open Advantage Mri II | Radiologic Technologist | 600 N Tustin Ave, Suite 100, Santa Ana, CA 92705-3736 | 2006-07-13 |
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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.