LIBERTY PACIFIC MEDICAL IMAGING OF SAN FRANCISCO, LLC (NPI# 1548218332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548218332 |
| Entity Type | Organization |
| Organization Name | LIBERTY PACIFIC MEDICAL IMAGING OF SAN FRANCISCO, LLC |
| Other Organization Name | SAN FRANCISCO ADVANCED MEDICAL IMAGING |
| Practice Address |
325 Sacramento St San Francisco CA 94111-3601 |
| Mailing Address |
Po Box 1279 Foresthill CA 95631-1279 |
| Practice Telephone | 4153214674 |
| Practice Fax Number | 4153214677 |
| Mailing Telephone | 5303675295 |
| Mailing Fax Number | 5303674634 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | RENEE (NONE) KAVON (V.P. MARKETING & CONTRACTING) |
| Authorized Official Telephone | 5303675295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| San Francisco Advanced Medical Imaging | Doing Business As Name - Organization |
| Street Address |
325 SACRAMENTO ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94111-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154548006 | Health Diagnostics of California LLC | Clinic/Center | 325 Sacramento St, San Francisco, CA 94111-3601 | 2007-04-20 |
| 1467461228 | Progressive Radiology Services | Radiology | 325 Sacramento St, San Francisco, CA 94111-3601 | 2006-08-07 |
| 1053361022 | Anthony Defrance | Specialist | 325 Sacramento St, San Francisco, CA 94111-3601 | 2006-05-11 |
| 1114976578 | Sonja Clar Melita Moelleken | Specialist | 325 Sacramento St, San Francisco, CA 94111-3601 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704574 | Dannielle Robin Jardine | Behavior Technician | 744 Montgomery St Suite 400, San Francisco, CA 94111 | 2019-08-06 |
| 1427543784 | Christopher Steven Olsen | Dentist | Two Embarcadero Center, Promenade Level, San Francisco, CA 94111 | 2018-06-28 |
| 1275042319 | Leena Suthar Pandya | Naturopath | 747 Front Street, C/o Empower, San Francisco, CA 94111 | 2017-09-20 |
| 1619353943 | Rebecca Ho Lee | Behavioral Analyst | 744 Montgomery St #400, San Francisco, CA 94111 | 2015-08-10 |
| 1497146229 | Lisa Shaw | Physical Therapist | 659 Commercial St, Suite 101, San Francisco, CA 94111 | 2015-02-16 |
| 1730594227 | Travel Well Corporation | Preventive Medicine | 1750 Montgomery St. 1st Floor, San Francisco, CA 94111 | 2014-06-24 |
| 1881006724 | Corey Todhunter | Chiropractor | 9 Columbus Avenue, San Francisco, CA 94111 | 2014-05-27 |
| 1033557574 | Geetha Ravi Thaker | Family Medicine | 2 Embarcadero Ctr Lbby Level415, San Francisco, CA 94111 | 2013-06-06 |
| 1700155298 | Owen D. Renik | Psychiatry & Neurology | 388 Market Street, Suite 1010, San Francisco, CA 94111 | 2011-12-29 |
| 1306115217 | Mary Catherine Shipman | Family Medicine | 440 Davis Court, Apt 1012, San Francisco, CA 94111 | 2011-12-21 |
| Find all providers in zip 94111 | ||||
| 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 |
|---|---|---|---|---|
| 1861995425 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 871 Lawton St, San Francisco, CA 94122-3541 | 2018-03-09 |
| 1144759697 | Iv Radiology Medical Group | Radiology | 1200 4th St Apt 426, San Francisco, CA 94158-2440 | 2017-06-08 |
| 1124559356 | Robert Earl Burky IIi | Radiology | 513 Parnassus Ave. S-321, Uscf - Department of Surgery, San Francisco, CA 94143-0470 | 2017-03-21 |
| 1487108403 | Stockdale Radiology Physician Services, Inc | Radiology | 1020 Francisco St, San Francisco, CA 94109-1127 | 2016-08-08 |
| 1700261765 | Riverside Radiology Medical Group, Inc. | Radiology | 400 Warren Dr, Apt. 4, San Francisco, CA 94131-1075 | 2015-07-20 |
| 1780070508 | Maya Vella | Radiology | 513 Parnassus Ave Rm S257a, San Francisco, CA 94143-2205 | 2015-04-08 |
| 1932598737 | Brian Trinh | Radiology | 513 Parnassus Ave # S257a, San Francisco, CA 94143-2205 | 2015-01-16 |
| 1164836607 | Marc-fernand Erian | Radiology | 1600 Divisadero St Rm C256, San Francisco, CA 94143-3010 | 2014-06-12 |
| 1770993271 | Ashley Lee | Radiology | 513 Parnassus Ave. Rm S-261, San Francisco, CA 94143-2205 | 2014-05-06 |
| 1194144170 | Sean Kelley | Radiology | 513 Parnassus Ave Ste S-261, San Francisco, CA 94143-2205 | 2014-04-07 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94111 |
Please comment or provide details below to improve the information on LIBERTY PACIFIC MEDICAL IMAGING OF SAN FRANCISCO, LLC.
| 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.