MEDICOMP INC (NPI# 1497160717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497160717 |
| Entity Type | Organization |
| Organization Name | MEDICOMP INC |
| Practice Address |
1 Market St Fl 36 San Francisco CA 94105-1420 |
| Practice Telephone | 4152339323 |
| Practice Fax Number | 8662943975 |
| Mailing Telephone | 4152339323 |
| Mailing Fax Number | 8662943975 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | ANTHONY BALDA (PRESIDENT/CEO) |
| Authorized Official Telephone | 3216760010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 293D00000X | Physiological Laboratory | Laboratories | ||
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664940 | Medicomp Inc | Physiological Laboratory | 600 Atlantis Rd, Melbourne, FL 32904-2315 | 2005-07-28 |
| 1598092942 | Medicomp Inc | Physiological Laboratory | 4000 Blackburn Ln, Suite 240, Burtonsville, MD 20866-1104 | 2009-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MEDICOMP INC | 600 Atlantis Road, Melbourne, FL 32904 |
| Street Address |
1 MARKET ST FL 36 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94105-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1811524754 | Brightside Medical of New Jersey, P.C. | Psychiatry & Neurology | 156 2nd Street, San Francisco, CA 94105 | 2020-03-23 |
| 1437704244 | Inna Rostker, Dds A PC | Internal Medicine | 109 Stevenson Street Suite 200, San Francisco, CA 94105 | 2019-08-08 |
| 1114399730 | Kendrix Nguyen | Pharmacist | 50 Beale Street 12th Floor, Pharmacy Department, San Francisco, CA 94105 | 2015-10-22 |
| 1003233842 | Bradley James Bailey | Chiropractor | 605 Market St Ste 1250, San Francisco, CA 94105 | 2014-03-18 |
| 1497189013 | Kiyoka Hansen | Optometrist | 100 1st St #145, San Francisco, CA 94105 | 2013-08-30 |
| 1720337306 | Pauli Amornkul | Family Medicine | 50 Beale Street, Suite 1300, Iavi-caps, San Francisco, CA 94105 | 2012-08-29 |
| 1265753974 | Nicholas Cohen | Family Medicine | 333 1st St Ste A, San Francisco, CA 94105 | 2010-06-16 |
| 1629303706 | Sarah Gertler Schaaf | Emergency Medicine | 55 2nd St, San Francisco, CA 94105 | 2009-10-07 |
| 1578712105 | Sand C Chang | Psychologist | 625 Market St Fl 15, San Francisco, CA 94105 | 2008-09-18 |
| Find all providers in zip 94105 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306255526 | Colmed Laboratories & Radiology | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 560 Haight Street #104, San Francisco, CA 94117-3444 | 2014-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629696497 | Iscan Medical Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 21822 Sherman Way Ste 201, Canoga Park, CA 91303-1938 | 2020-07-08 |
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1790314151 | Jem Imaging Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 359 Churchill Pl, Gilroy, CA 95020-6738 | 2020-04-07 |
| 1427695352 | Quality Care Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11900 Avalon Blvd Ste 101, Los Angeles, CA 90061-2867 | 2019-12-10 |
| 1851940431 | X-ray Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6450 Bellingham Ave Ste F, North Hollywood, CA 91606-1429 | 2019-09-06 |
| 1063074730 | Better Life United Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4100 Easton Dr Ste 12, Bakersfield, CA 93309-9418 | 2019-07-02 |
| 1679134118 | Sd Xray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3220 S Brea Canyon Rd Ste B, Diamond Bar, CA 91765-3481 | 2019-06-25 |
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1457816712 | Pmdtc, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 23297 S Pointe Dr Ste 120, Laguna Hills, CA 92653-1491 | 2019-01-31 |
| 1083188767 | Mabel Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 356 E Olive Ave Ste 111, Burbank, CA 91502-1260 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94105 |
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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.