CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC. (NPI# 1689613929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689613929 |
Entity Type | Organization |
Organization Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC. |
Other Organization Name | NATIONAL ORTHOPEDIC IMAGING ASSOCIATES |
Practice Address |
2 Bon Air Rd Suite 120 Larkspur CA 94939-1141 |
Mailing Address |
Po Box 6102 Novato CA 94948-6102 |
Practice Telephone | 4159275300 |
Practice Fax Number | 4159275242 |
Mailing Telephone | 4158843418 |
Mailing Fax Number | 4158833406 |
Enumeration Date | 2006-06-05 |
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 | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR000314D | 05 | |
CA | RAILROAD MEDICARE | CI2439 | 01 |
Other Name | Type Code |
---|---|
National Orthopedic Imaging Associates | Doing Business As Name - Organization |
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 |
1629025457 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 1720 El Camino Real Ste 118, Burlingame, CA 94010-3225 | 2006-05-27 |
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 |
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 |
2 BON AIR RD SUITE 120 |
City | LARKSPUR |
State | CA |
Zip Code | 94939-1141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104816917 | Margaret L. Baer | Internal Medicine | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2005-10-24 |
1023664869 | Chris Kane | Physical Therapist | 2 Bon Air Rd, Larkspur, CA 94939-1141 | 2019-08-16 |
1508139536 | Brigette Lofholm | Pharmacist | 2 Bon Air Rd, Suite 130, Larkspur, CA 94939-1141 | 2012-02-22 |
1164795829 | Marin Healthcare District | Internal Medicine | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2012-02-10 |
1598059123 | Elizabeth Neal Gonzales | Dietitian, Registered | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2011-05-31 |
1306156781 | Shannon Browning | Nurse Practitioner | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2010-10-19 |
1083934301 | Kimberly Hoagland Madsen | Dietitian, Registered | 2 Bon Air Rd, Suite 130, Larkspur, CA 94939-1141 | 2010-06-09 |
1346571312 | Sarah M Lamb | Clinical Nurse Specialist | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2010-01-14 |
1629233051 | Kabir Jeewan Singh | Internal Medicine | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2008-07-24 |
1063690782 | Brian Su | Orthopaedic Surgery | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1141 | 2008-02-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
Find all providers in zip 94939 |
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 |
---|---|---|---|---|
1841535606 | James Leland Gorder | Radiology | 135 Elm Ave, Larkspur, CA 94939-2038 | 2012-12-05 |
1295787273 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 2 Bon Air Rd, Suite 140a, Larkspur, CA 94939-1141 | 2006-05-17 |
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1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
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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.