ADVANCED IMAGING OF TRACY LLC (NPI# 1730595984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730595984 |
| Entity Type | Organization |
| Organization Name | ADVANCED IMAGING OF TRACY LLC |
| Practice Address |
7208 Lotus Ave Apt 15 San Gabriel CA 91755-1255 |
| Mailing Address |
Po Box 398091 San Francisco CA 94139-4016 |
| Practice Telephone | 2098332393 |
| Mailing Telephone | 2098332393 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | RICHARD M. PORZIO (MD/PRESIDENT) |
| Authorized Official Telephone | 2098332393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942615810 | Advanced Imaging of Tracy LLC | Radiology | 3553 Villero Ct, Pleasanton, CA 94566-2108 | 2014-06-30 |
| 1932516754 | Advanced Imaging of Tracy LLC | Radiology | 520 West I Street, Los Banos, CA 95336-5964 | 2014-07-14 |
| 1689089559 | Advanced Imaging of Tracy LLC | Radiology | 200 Jose Figueres Ave, Ste 190, San Jose, CA 95116-1586 | 2014-06-30 |
| 1275523151 | Advanced Imaging of Tracy LLC | Radiology | 1530 Bessie Ave, Suite 108, Tracy, CA 95376-3080 | 2005-10-24 |
| Street Address |
7208 LOTUS AVE APT 15 |
| City | SAN GABRIEL |
| State | CA |
| Zip Code | 91755-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245635713 | Laura L Luu | Dietitian, Registered | 512 N Orange Ave, Monterey Park, CA 91755 | 2014-10-27 |
| 1306249958 | Oi Yi Tin | Dietitian, Registered | 224 E Hammel St, Monterey Park, CA 91755 | 2014-09-26 |
| 1740550706 | Michael Pui Lam | Family Medicine | 436 S Sefton,suite E, Monterey Park, CA 91755 | 2012-01-09 |
| 1417103680 | Ibotombi Singh Naorem | Family Medicine | 1008-a East Garvey Ave, Gm Health Clinic, Monterey Park, CA 91755 | 2008-08-07 |
| 1316124365 | G M Health Clinic | Family Medicine | 1008 A E Garvey Avenue, Monterey Park, CA 91755 | 2008-01-22 |
| 1306069547 | Zhi Mian Zhou | Acupuncturist | 1008 A E Garvey Ave, Gm Health Clinic, Monterey Park, CA 91755 | 2007-04-10 |
| 1972648749 | Si Quan Xiao | Acupuncturist | 428 E Garvey Ave, Monterey Park, CA 91755 | 2007-02-20 |
| 1437202934 | Daniel Yh Wang | Dentist | 116 E Emerson Ave, Monterey Park, CA 91755 | 2007-01-19 |
| 1194883694 | Jack Hanchieh Chen | Dentist | 914 E Garvey Ave, Monterey Park, CA 91755 | 2006-12-05 |
| 1770651143 | Daniel Wang and Ronnie Chen Professional Dental Corp. | Dentist | 116 E. Emerson Ave, Monterey Park, CA 91755 | 2006-12-01 |
| Find all providers in zip 91755 | ||||
| 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 |
|---|---|---|---|---|
| 1487090213 | Mark Bao Le | Radiology | 110 W Las Tunas Dr Ste C, San Gabriel, CA 91776-1346 | 2013-05-20 |
| 1629006895 | David C P Chen | Radiology | 1129 S San Gabriel Blvd, San Gabriel, CA 91776-3114 | 2006-06-28 |
| 1518212315 | United Radiology Imaging Corp | Radiology | 808 E Valley Blvd, Ste 6, San Gabriel, CA 91776-3607 | 2012-07-17 |
| 1124052600 | Patricia Lynn Allen | Radiology | 1129 S San Gabriel Blvd, San Gabriel, CA 91776-3114 | 2006-07-10 |
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| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAN GABRIEL |
| Zip Code | 91755 |
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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.