NORTHERN CALIFORNIA PET IMAGING CENTER (NPI# 1770532301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770532301 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA PET IMAGING CENTER |
| Practice Address |
10535 Hospital Way Mather CA 95655-4200 |
| Mailing Address |
3195 Folsom Blvd Sacramento CA 95816-5233 |
| Practice Telephone | 9168437260 |
| Practice Fax Number | 9167376203 |
| Mailing Telephone | 9167373211 |
| Mailing Fax Number | 9167376203 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RUTH D TESAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9167390788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790734317 | Northern California Pet Imaging Center | Nuclear Medicine | 406 Sunrise Ave, Roseville, CA 95661-4106 | 2006-05-09 |
| 1992754741 | Northern California Pet Imaging Center | Nuclear Medicine | 3195 Folsom Blvd, Sacramento, CA 95816-5233 | 2006-05-09 |
| 1134564586 | Northern California Pet Imaging Center | Nuclear Medicine | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2013-04-29 |
| 1659324481 | Northern California Pet Imaging Center | Nuclear Medicine | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-05-19 |
| 1033168745 | Northern California Pet Imaging Center | Nuclear Medicine | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-05-09 |
| Street Address |
10535 HOSPITAL WAY |
| City | MATHER |
| State | CA |
| Zip Code | 95655-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251681 | Harold A Burger | Internal Medicine | 10535 Hospital Way, Mather Va Hospital, Mather, CA 95655 | 2005-08-10 |
| 1174123483 | Daniel Porter | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-10-27 |
| 1306443379 | Brandon Flaig | Registered Nurse | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-10-02 |
| 1568076883 | Heather A Tucker-bjorum | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-09-03 |
| 1457961260 | Sunny Renee Burdick | Audiologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-08-06 |
| 1508475096 | Duyen Thien Doan | Pharmacist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-30 |
| 1568071181 | Alice Chen | Pharmacist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-29 |
| 1659980753 | Christie Carole Mead | Psychologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-24 |
| 1124646393 | Ann Marie Bowring | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-13 |
| 1558984781 | Sonja Careaga Espinosa | Social Worker | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624489 | Sacramento County Office of Education | Clinic/Center | Sacramento County Office of Education/david P. Meaney, 10474 Mather Boulevard, Conference Room A, Mather, CA 95655 | 2019-11-18 |
| 1528539194 | Diana Florina Mccarthy | Pharmacist | 11009 Brattleboro Cir, Mather, CA 95655 | 2018-12-07 |
| 1336235811 | Ian Chan | Internal Medicine | 10565 Hospital Way, Bldg 647, Cardiology Department, Mather, CA 95655 | 2006-10-04 |
| 1790759066 | Tin Zar Shain | Psychiatry & Neurology | 10633 Grissom Avenue, Mather, CA 95655 | 2006-02-14 |
| 1174594659 | Leslie K Eaton | Psychiatry & Neurology | 16033 Grissom Ave, Mather, CA 95655 | 2006-01-31 |
| 1306496799 | Connie Q Sou | Pharmacist | 10535 Hospital Way # 119, Mather, CA 95655 | 2019-09-17 |
| 1356901490 | Sacramento County Office of Education | Local Education Agency (LEA) | 10474 Mather Blvd, Mather, CA 95655 | 2019-06-20 |
| 1619946449 | Melinda Jane Keenan | Psychologist | 10633 Grissom Ave, Mather, CA 95655 | 2006-03-15 |
| 1467438952 | Scott Alfred Hundahl | Surgery | Sacramento Va Medical Center - Chief of Surgery, 10535 Hospital Way, Smat-112, Mather, CA 95655-1200 | 2005-12-16 |
| 1932171519 | Nipavan Chiamvimonvat | Specialist | Va Medical Center, 10535 Hospital Way, Mather, CA 95655-1200 | 2006-02-07 |
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| Taxonomy Code | 207U00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered. - American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952369589 | Charles Arthur Barnett | Nuclear Medicine | 10535 Hospital Way, Mather, CA 95655-4200 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950655 | Walter Mcmillan | Nuclear Medicine | 3740 Santa Rosalia Dr Apt 308, Los Angeles, CA 90008-3624 | 2020-04-15 |
| 1629441563 | David Marshall Shames | Nuclear Medicine | 2737 Claremont Blvd, Berkeley, CA 94705-1321 | 2015-10-31 |
| 1073915831 | Edward W. Tam | Nuclear Medicine | 810 Hallmark Dr, Redding, CA 96001-0151 | 2014-09-23 |
| 1619389665 | Robbie Kaveh Sooriash | Nuclear Medicine | 25856 Bellis Dr, Valencia, CA 91355-2054 | 2014-05-27 |
| 1417367079 | Mark S. Bettermon | Nuclear Medicine | 22233 Village 22, Camarillo, CA 93012 | 2014-05-05 |
| 1598104101 | Merlin Stanley Puterbaugh | Nuclear Medicine | 480 Lassen St, # 1, Los Altos, CA 94022-3986 | 2013-06-17 |
| 1104269729 | Shadfar Bahri | Nuclear Medicine | 200 Medical Plaza Suite B114, Los Angeles, CA 90095-5201 | 2013-04-12 |
| 1336404599 | John Richard White | Nuclear Medicine | 4400 Palos Verdes Dr E, Rancho Palos Verdes, CA 90275-6474 | 2012-07-12 |
| 1144506395 | Ella Yevdayev | Nuclear Medicine | 4510 E Pacific Coast Ste 320, Long Beach, CA 90804-6926 | 2011-11-01 |
| 1154602480 | Haluk Alibazoglu | Nuclear Medicine | 5536 Renaissance Ave, Unit No 3, San Diego, CA 92122-5673 | 2011-08-31 |
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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.