WALNUT CREEK HEARTSCAN, LLC (NPI# 1750317269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750317269 |
| Entity Type | Organization |
| Organization Name | WALNUT CREEK HEARTSCAN, LLC |
| Practice Address |
2161 Ygnacio Valley Rd Ste 100 Walnut Creek CA 94598-3396 |
| Practice Telephone | 9259393003 |
| Practice Fax Number | 9259393036 |
| Mailing Telephone | 9259393003 |
| Mailing Fax Number | 9259393036 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT TYLER WOOLLEY (MANAGING MEMBER) |
| Authorized Official Telephone | 9165910350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
2161 YGNACIO VALLEY RD STE 100 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902296809 | Tatyana Yashchuk | Clinic/Center | 2161 Ygnacio Valley Rd, Suite 101, Walnut Creek, CA 94598-3396 | 2015-01-29 |
| 1447424395 | Hyo J Kim Md PC | Clinic/Center | 2161 Ygnacio Valley Rd, Ste100, Walnut Creek, CA 94598-3396 | 2008-04-22 |
| 1053518472 | Theresa Eusebio Villano | Dentist | 2161 Ygnacio Valley Rd, Walnut Creek, CA 94598-3396 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508581 | Alivecor Labs LLC | Physiological Laboratory | 444 Castro St, Mountain View, CA 94041-2017 | 2020-11-02 |
| 1821604265 | Arvia Diagnostics, Inc. | Physiological Laboratory | 356 E Olive Ave Ste 108, Burbank, CA 91502-1261 | 2020-09-21 |
| 1003429945 | Akaal Organics LLC | Physiological Laboratory | 1730 Canal Ave, Long Beach, CA 90813-1223 | 2020-08-29 |
| 1447803861 | Marin Petct Imaging, LLC | Physiological Laboratory | 4000 Civic Center Dr Ste 110, San Rafael, CA 94903-5232 | 2019-07-24 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1598238834 | Laboratory Environment LLC | Physiological Laboratory | 1436 S La Cienega Blvd Ste 208, Los Angeles, CA 90035-3761 | 2019-01-09 |
| 1508336371 | Ultratech Services | Physiological Laboratory | 118 W Stocker St # 3, Glendale, CA 91202-2509 | 2018-12-04 |
| 1710457015 | Peak Pulmonary Services LLC | Physiological Laboratory | 1447 Blue Jay Ct, Tracy, CA 95376-8353 | 2018-11-29 |
| 1306313648 | O.n. Diagnostics, LLC | Physiological Laboratory | 2150 Shattuck Ave Ste 610, Berkeley, CA 94704-1347 | 2018-10-24 |
| 1447731948 | Fountain Valley Regional Sleep Center LLC | Physiological Laboratory | 24953 Paseo De Valencia Ste 3a, Laguna Hills, CA 92653-4342 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on WALNUT CREEK HEARTSCAN, LLC.
| 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.