CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC. (NPI# 1629025457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629025457 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC. |
| Practice Address |
1720 El Camino Real Ste 118 Burlingame CA 94010-3225 |
| Mailing Address |
Po Box 6102 Novato CA 94948-6102 |
| Practice Telephone | 6506967850 |
| Practice Fax Number | 6506963677 |
| Mailing Telephone | 4158843418 |
| Mailing Fax Number | 4158830877 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | ROBERT KELLY HOYE (CEO) |
| Authorized Official Telephone | 4158843448 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR000314K | 05 | |
| CA | RAILROAD MEDICARE | CI2439 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780621763 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 550 S Winchester Blvd Ste 110, San Jose, CA 95128-2526 | 2006-05-31 |
| 1689628679 | California Advanced Imaging Medical Assoc., Inc. | Clinic/Center | 1260 S Eliseo Dr Ste 101, Greenbrae, CA 94904-2009 | 2006-05-22 |
| 1619921186 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 863 Corriente Point Dr, Redwood City, CA 94065-1284 | 2006-05-20 |
| 1346490174 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 611 Abbott St Ste 102, Salinas, CA 93901-4391 | 2008-09-29 |
| 1851332258 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 2170 South Ave, S Lake Tahoe, CA 96150-7026 | 2006-06-09 |
| 1487693933 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 180 Rowland Way, Radiology Dept., Novato, CA 94945-5009 | 2006-06-06 |
| 1689613929 | California Advanced Imaging Medical Assoc., Inc. | Clinic/Center | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1141 | 2006-06-05 |
| 1396783288 | California Advanced Imaging Medical Assoc., Inc. | Nuclear Medicine | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2006-06-03 |
| 1538107396 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-06-03 |
| 1679520738 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 935 El Camino Real, South San Francisco, CA 94080-3203 | 2006-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | California Advanced Imaging Medical Associates, Inc. | 500 Redwood Blvd, Suite 300, Novato, CA 94947 |
| Street Address |
1720 EL CAMINO REAL STE 118 |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071850 | Jilla Lavian | Social Worker | 1240 Lakeview Drive, San Mateo, CA 94010 | 2020-07-23 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1184182248 | Primrose Healing and Wellness, Inc. | Marriage & Family Therapist | 405 Primrose Rd, #320, Burlingame, CA 94010 | 2019-03-07 |
| 1720508724 | Monazza Chaudhry | Pharmacist | 1828 El Camino Real #104, Burlingame, CA 94010 | 2017-06-21 |
| 1861804007 | Heidi Platt | Counselor | 826 Mahler Road, Burlingame, CA 94010 | 2014-05-22 |
| 1144662685 | Scarlett M Reyes | Counselor | 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 | 2013-07-25 |
| 1760821979 | Elliot Naidus | Internal Medicine | 1720 El Camino Real Ste 150, Burlingame, CA 94010 | 2013-06-20 |
| 1831430651 | Huddleston Care, LLC | In Home Supportive Care | 1364 Drake Avenue, Burlingame, CA 94010 | 2013-03-04 |
| 1891070843 | Linda Susan Notario | Pharmacist | 260 El Camino Raal, Burlingame, CA 94010 | 2011-10-20 |
| 1063794006 | Tram Anh Le | Pharmacist | 260 N El Camino Real, Burlingame, CA 94010 | 2011-09-15 |
| Find all providers in zip 94010 | ||||
| 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 |
|---|---|---|---|---|
| 1043633829 | Quantum Medical Radiology of California, P.C. | Radiology | 138 Victoria Rd, Burlingame, CA 94010-2959 | 2014-01-29 |
| 1588001838 | Eric Flagg | Radiology | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2013-05-28 |
| 1770842841 | Michael Holmes | Radiology | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2012-05-10 |
| 1528186780 | Dorra Sellami | Radiology | 1783 El Camino Real, Burlingame, CA 94010-3205 | 2007-03-27 |
| 1558400861 | Lenora Verne Fung | Radiology | 1783 El Camino Real, Mills Peninsula Medical Center, Burlingame, CA 94010 | 2007-02-05 |
| 1356447627 | Avanti Ambekar | Radiology | 1783 El Camino Real, Burlingame, CA 94010-3205 | 2006-09-15 |
| 1356385520 | William Michael Stephenson | Radiology | 1783 El Camino Real, Burlingame, CA 94010-3205 | 2006-06-16 |
| 1063457034 | Mark Newman Pederson | Radiology | 1783 El Camino Real, Burlingame, CA 94010-3205 | 2006-06-16 |
| 1871537308 | John Starks Wilson Jr. | Radiology | 1783 El Camino Real, Burlingame, CA 94010-3205 | 2006-06-15 |
| 1295776672 | Christopher James Yoo | Radiology | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2006-06-09 |
| Find all providers in BURLINGAME | ||||
| City | BURLINGAME |
| Zip Code | 94010 |
Please comment or provide details below to improve the information on CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC..
| 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.