NORTHERN CALIFORNIA PET IMAGING CENTER (NPI# 1659324481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659324481 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA PET IMAGING CENTER |
| Practice Address |
3801 Miranda Ave Palo Alto CA 94304-1207 |
| Mailing Address |
3195 Folsom Blvd Sacramento CA 95816-5233 |
| Practice Telephone | 6504935000 |
| Practice Fax Number | 9167376203 |
| Mailing Telephone | 9167373211 |
| Mailing Fax Number | 9167376203 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RUTH D TESAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9167390788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0092190 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790734317 | Northern California Pet Imaging Center | Nuclear Medicine | 406 Sunrise Ave, Roseville, CA 95661-4106 | 2006-05-09 |
| 1992754741 | Northern California Pet Imaging Center | Nuclear Medicine | 3195 Folsom Blvd, Sacramento, CA 95816-5233 | 2006-05-09 |
| 1134564586 | Northern California Pet Imaging Center | Nuclear Medicine | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2013-04-29 |
| 1770532301 | Northern California Pet Imaging Center | Nuclear Medicine | 10535 Hospital Way, Mather, CA 95655-4200 | 2006-05-10 |
| 1033168745 | Northern California Pet Imaging Center | Nuclear Medicine | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-05-09 |
| Street Address |
3801 MIRANDA AVE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405449 | John Paul Lavelle | Urology | 3801 Miranda Ave, B3-117 Bldg 100 Urology (#112), Palo Alto, CA 94304-1207 | 2005-05-27 |
| 1437750619 | Ashley Ando | Respiratory Therapist, Registered | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-11-04 |
| 1265032783 | Jim Le | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-10-26 |
| 1497354484 | Laura Renee Zimmerman | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-10-21 |
| 1891300810 | Clark Dan Ma | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-09-15 |
| 1124630900 | Palo Alto Perfusion Service | Perfusionist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-21 |
| 1790397362 | Gihun Kim | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1750993309 | Jessica Tran | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1083226500 | Danielle Jean Fox | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-08-17 |
| 1346851078 | Alice Lin | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 207U00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered. - American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497939458 | Meike Lisette Schipper | Nuclear Medicine | 300 Pasteur Drive, Dep. of Nuclear Medicine, Stanford University Hospital, Palo Alto, CA 94305 | 2007-12-26 |
| 1073726832 | Minal Shreyas Vasanawala | Nuclear Medicine | 3801 Miranda Avenue, Palo Alto, CA 94304 | 2007-05-08 |
| 1487763611 | Lawrence Basso | Nuclear Medicine | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2006-08-30 |
| 1710994082 | George M Segall | Nuclear Medicine | 3801 Miranda Ave, Nuclear Medicine Service 115, Palo Alto, CA 94304-1207 | 2006-08-01 |
| 1033168745 | Northern California Pet Imaging Center | Nuclear Medicine | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950655 | Walter Mcmillan | Nuclear Medicine | 3740 Santa Rosalia Dr Apt 308, Los Angeles, CA 90008-3624 | 2020-04-15 |
| 1629441563 | David Marshall Shames | Nuclear Medicine | 2737 Claremont Blvd, Berkeley, CA 94705-1321 | 2015-10-31 |
| 1073915831 | Edward W. Tam | Nuclear Medicine | 810 Hallmark Dr, Redding, CA 96001-0151 | 2014-09-23 |
| 1619389665 | Robbie Kaveh Sooriash | Nuclear Medicine | 25856 Bellis Dr, Valencia, CA 91355-2054 | 2014-05-27 |
| 1417367079 | Mark S. Bettermon | Nuclear Medicine | 22233 Village 22, Camarillo, CA 93012 | 2014-05-05 |
| 1598104101 | Merlin Stanley Puterbaugh | Nuclear Medicine | 480 Lassen St, # 1, Los Altos, CA 94022-3986 | 2013-06-17 |
| 1104269729 | Shadfar Bahri | Nuclear Medicine | 200 Medical Plaza Suite B114, Los Angeles, CA 90095-5201 | 2013-04-12 |
| 1336404599 | John Richard White | Nuclear Medicine | 4400 Palos Verdes Dr E, Rancho Palos Verdes, CA 90275-6474 | 2012-07-12 |
| 1144506395 | Ella Yevdayev | Nuclear Medicine | 4510 E Pacific Coast Ste 320, Long Beach, CA 90804-6926 | 2011-11-01 |
| 1154602480 | Haluk Alibazoglu | Nuclear Medicine | 5536 Renaissance Ave, Unit No 3, San Diego, CA 92122-5673 | 2011-08-31 |
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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.