REVEAL DIAGNOSTICS, LLC (NPI# 1689083719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689083719 |
| Entity Type | Organization |
| Organization Name | REVEAL DIAGNOSTICS, LLC |
| Other Organization Name | REVEAL DIAGNOSTICS |
| Practice Address |
19682 Hesperian Blvd Suite 206 Hayward CA 94541-4752 |
| Mailing Address |
490 Post St Suite 301 San Francisco CA 94102-1401 |
| Practice Telephone | 8888938325 |
| Practice Fax Number | 8888086160 |
| Mailing Telephone | 8889738325 |
| Mailing Fax Number | 8888086160 |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2014-08-02 |
| Authorized Official Name | MARSHALL BRICKEEN (OWNER) |
| Authorized Official Telephone | 8889738325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Reveal Diagnostics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851709984 | Reveal Diagnostics, LLC | Radiology | 6080 Hellyer Ave, Suite 175, San Jose, CA 95138-1052 | 2014-08-01 |
| 1598013930 | Reveal Diagnostics, LLC | Radiology | 490 Post St, Suite 301, San Francisco, CA 94102-1401 | 2012-08-15 |
| 1487902821 | Reveal Diagnostics, LLC | Radiology | 100 W El Camino Real, Suite 63b, Mountain View, CA 94040-2664 | 2012-08-15 |
| Street Address |
19682 HESPERIAN BLVD SUITE 206 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073549283 | Massen Medical Office | Family Medicine | 19682 Hesperian Blvd, 1393 Santa Rita Rd., #a, Hayward, CA 94541-4752 | 2006-06-23 |
| 1467955369 | Maria T Alarcon Dds Dental Corporation | Dentist | 19682 Hesperian Blvd, Second Floor Suite #208, Hayward, CA 94541-4752 | 2018-03-16 |
| 1144594441 | Nikolas Marios Stathopoulos | Dentist | 19682 Hesperian Blvd, Suite 106, Hayward, CA 94541-4752 | 2012-03-04 |
| 1275799074 | Hyeran Choo | Dentist | 19682 Hesperian Blvd, Suite 106, Hayward, CA 94541-4752 | 2008-07-31 |
| 1306967609 | Benita B Tan | Obstetrics & Gynecology | 19682 Hesperian Blvd, Suite 202, Hayward, CA 94541-4752 | 2007-04-03 |
| 1255463154 | Isabella Shtulman Soloveychik | Dentist | 19682 Hesperian Blvd, Suite 101, Hayward, CA 94541-4752 | 2007-03-09 |
| 1346376068 | Young Soon Chung | Acupuncturist | 19682 Hesperian Blvd, Suite 104, Hayward, CA 94541-4752 | 2007-02-26 |
| 1669533642 | Massen Medical Inc. | Clinic/Center | 19682 Hesperian Blvd, Ste 101a, Hayward, CA 94541-4752 | 2006-12-13 |
| 1548344625 | Benita B Tan Md Inc | Obstetrics & Gynecology | 19682 Hesperian Blvd, Suite 202, Hayward, CA 94541-4752 | 2006-10-25 |
| 1598873853 | Robert V Wick | Dentist | 19682 Hesperian Blvd, Suite 207, Hayward, CA 94541-4752 | 2006-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
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|---|---|---|---|---|
| 1730795881 | Valerie Rondone | Radiology | 2574 Raleigh Way, El Dorado Hills, CA 95762-6973 | 2020-09-23 |
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1417416124 | Adventist Health Physicians Network | Radiology | 155 Solano St Ste 101, Corning, CA 96021-3511 | 2019-03-13 |
| 1770068991 | Reham Aboughali | Radiology | 20349 Anza Ave Apt 27, Torrance, CA 90503-7410 | 2018-10-03 |
| 1962910513 | Excel Imaging Center Inc | Radiology | 13071 Brookhurst St Ste 100, Garden Grove, CA 92843-5514 | 2018-01-17 |
| 1467972315 | Radtech Services Inc | Radiology | 2826 Racine St, Simi Valley, CA 93065-2730 | 2017-06-22 |
| 1619363496 | Nathan Ashley | Radiology | 620 N Bonhill Rd, Los Angeles, CA 90049-2302 | 2015-04-08 |
| 1851709984 | Reveal Diagnostics, LLC | Radiology | 6080 Hellyer Ave, Suite 175, San Jose, CA 95138-1052 | 2014-08-01 |
| 1770912784 | William George Hayden | Radiology | 20 Ciervos Rd, Portola Valley, CA 94028-8107 | 2013-11-11 |
| 1215362942 | Reveal Diagnostics LLC | Radiology | 4217 Piedmont Avenue, Suite B, Oakland, CA 94611 | 2013-09-12 |
| Find all providers with the same taxonomy | ||||
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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.