NORCAL IMAGING (NPI# 1730203316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730203316 |
| Entity Type | Organization |
| Organization Name | NORCAL IMAGING |
| Practice Address |
3200 Telegraph Ave Oakland CA 94609-3016 |
| Mailing Address |
1516 Cotner Ave Los Angeles CA 90025-3303 |
| Practice Telephone | 5106631950 |
| Practice Fax Number | 5106631953 |
| Mailing Telephone | 3104452951 |
| Mailing Fax Number | 3104791459 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | DR. HOWARD G. BERGER (PRESIDENT) |
| Authorized Official Telephone | 3104452800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1730203316 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376667022 | Norcal Imaging | Radiology | 114 La Casa Via, Suites # 100 & 200, Walnut Creek, CA 94598-3087 | 2007-03-19 |
| 1013031772 | Norcal Imaging | Radiology | 2201 Walnut Ave, Suite # 150, Fremont, CA 94538-2334 | 2007-03-19 |
| 1003965997 | Norcal Imaging | Radiology | 2600 Park Ave., Suites # 101 & 203, Concord, CA 94520-1929 | 2007-01-09 |
| 1881971299 | Norcal Imaging | Radiology | 2999 Regent St., Suite 225, Berkeley, CA 94705-2117 | 2011-11-14 |
| 1578687166 | Norcal Imaging | Radiology | 5720 Stoneridge Mall Rd, Suite # 290, Pleasanton, CA 94588-2828 | 2007-03-19 |
| 1336263946 | Norcal Imaging | Radiology | 2450 Washington Ave, Suite # 120, San Leandro, CA 94577-5996 | 2007-03-19 |
| Street Address |
3200 TELEGRAPH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457916975 | Amelia Mostovoy | Student in an Organized Health Care Education/Training Program | 3200 Telegraph Ave, Oakland, CA 94609-3016 | 2019-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| 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 |
|---|---|---|---|---|
| 1841583457 | Gabriel Philip Howles-banerji | Radiology | 3600 Broadway, 2nd Floor, Interventional Radiology, Oakland, CA 94611 | 2011-05-16 |
| 1215141114 | Jason Hwang | Radiology | 411 30th Street #508, Oakland, CA 91460 | 2007-05-09 |
| 1194848150 | Donald A Breyer | Radiology | 6861 Gunn Dr, Oakland, CA 94611-1442 | 2007-04-06 |
| 1841311305 | Howard Bruce Glazer | Radiology | 1411 East 14th St., Oakland, CA 94602 | 2007-04-03 |
| 1669515334 | Paul E. Morris | Radiology | 32 Ross Cir, Oakland, CA 94618-1912 | 2007-02-14 |
| 1801997721 | Stuart S. London Md,inc | Radiology | 3330 Telegraph Ave, Oakland, CA 94609-3028 | 2006-09-25 |
| 1083715908 | Stuart S London | Radiology | 3330 Telegraph Ave., Oakland, CA 94609-3028 | 2006-09-25 |
| 1164529285 | Jody Elizabeth Balich | Radiology | 1155 Clarendon Cres, Oakland, CA 94610-1807 | 2006-09-20 |
| 1689618415 | Sonali Wadhwa | Radiology | 1800 Harrison Street, 7th Floor, Tpmg Hr Compliance and Administration-npi, Oakland, CA 94612 | 2006-06-15 |
| 1588656847 | Philip Young-suh Chyu | Radiology | 411 30th St, #508, Oakland, CA 94609 | 2005-08-22 |
| Find all providers in OAKLAND | ||||
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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.