AMADOR VALLEY DENTAL X-RAY INC.


Address: 1475 Cedarwood Ln Ste D, Pleasanton, CA 94566-6128
Phone: 9258469291

AMADOR VALLEY DENTAL X-RAY INC. (NPI# 1447511464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447511464
Entity Type Organization
Organization Name AMADOR VALLEY DENTAL X-RAY INC.
Other Organization Name C&G DENTAL X-RAY
Practice Address 1475 Cedarwood Ln Ste D
Pleasanton
CA 94566-6128
Practice Telephone 9258469291
Practice Fax Number 9258469260
Mailing Telephone 9258469291
Mailing Fax Number 9258469260
Enumeration Date 2012-06-06
Last Update Date 2012-06-06
Authorized Official Name NANCY FURTADO (VICE PRES.)
Authorized Official Telephone 9258469291
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 247100000X Radiologic Technologist RHP00041624 CA Technologists, Technicians & Other Technical Service Providers
N 2471C3401X Radiologic Technologist
Specialization: Computed Tomography
RHP00041624 CA Technologists, Technicians & Other Technical Service Providers
Y 2471C3402X Radiologic Technologist
Specialization: Radiography
RHP00041624 CA Technologists, Technicians & Other Technical Service Providers

Other Provider/Organization Names

Other Name Type Code
C&G DENTAL X-RAY Doing Business As Name - Organization

Office Location

Street Address 1475 CEDARWOOD LN STE D
City PLEASANTON
State CA
Zip Code 94566-6128

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Taxonomy Information

Taxonomy Code 2471C3402X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Radiography

Taxonomy Definition

Definition to come...

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Competitor

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City PLEASANTON
Zip Code 94566

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Dataset Information

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.

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