NORTHERN CALIFORNIA PET IMAGING CENTER (NPI# 1790734317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790734317 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA PET IMAGING CENTER |
| Practice Address |
406 Sunrise Ave Roseville CA 95661-4106 |
| Mailing Address |
3195 Folsom Blvd Sacramento CA 95816-5233 |
| Practice Telephone | 8887383211 |
| Practice Fax Number | 9167376203 |
| Mailing Telephone | 9167373211 |
| Mailing Fax Number | 9167376203 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-10-20 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0088760 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1770532301 | Northern California Pet Imaging Center | Nuclear Medicine | 10535 Hospital Way, Mather, CA 95655-4200 | 2006-05-10 |
| 1033168745 | Northern California Pet Imaging Center | Nuclear Medicine | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-05-09 |
| Street Address |
406 SUNRISE AVE |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325278 | Alexandra Sierra | Counselor | 406 Sunrise Ave, Roseville, CA 95661-4106 | 2020-04-16 |
| 1205477114 | Amber Kate Hazen | Counselor | 406 Sunrise Ave, Roseville, CA 95661-4106 | 2019-10-01 |
| 1306207790 | Michelle Telesfora Gabrielli | Nurse Practitioner | 406 Sunrise Ave, Suite 280, Roseville, CA 95661-4106 | 2016-03-11 |
| 1972922722 | Golzar Shaari | Dentist | 406 Sunrise Ave, Suite 270, Roseville, CA 95661-4106 | 2014-04-09 |
| 1154674257 | Marissa Church | Counselor | 406 Sunrise Ave, Ste 310, Roseville, CA 95661-4125 | 2012-10-26 |
| 1568760098 | Rebecca Louise Harris | Counselor | 406 Sunrise Ave, Suite 310a, Roseville, CA 95661-4106 | 2011-03-08 |
| 1528370376 | Alliance Healthcare Services Inc | Clinic/Center | 406 Sunrise Ave, #220, Roseville, CA 95661-4125 | 2010-07-09 |
| 1538498415 | Alliance Healthcare Services Inc | Clinic/Center | 406 Sunrise Ave, Roseville, CA 95661-4106 | 2009-12-23 |
| 1831321843 | Christine L Gold | Physician Assistant | 406 Sunrise Ave, Roseville, CA 95661-4106 | 2009-08-10 |
| 1891937082 | Dr. Shaaris Dental Office | Exclusive Provider Organization | 406 Sunrise Ave, 270, Roseville, CA 95661-4106 | 2009-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1487945754 | Radiological Associates of Sacramento Medical Group Inc | Nuclear Medicine | 1880 Sierra Gardens Dr, 200, Roseville, CA 95661-2958 | 2011-04-21 |
| 1073519781 | Michael Klair Haseman | Nuclear Medicine | 2241 Douglas Blvd, Ste 110, Roseville, CA 95661-3831 | 2005-06-27 |
| 1629138300 | Radiological Associates of Sacramento Medical Group Inc | Nuclear Medicine | 5 Medical Plaza Drive, Suite 140, Roseville, CA 95661 | 2006-12-11 |
| 1417935891 | James Konrad | Nuclear Medicine | 2241 Douglas Blvd, Suite 110, Roseville, CA 95661 | 2006-01-05 |
| 1124025366 | Herman A. Kensky | Nuclear Medicine | 2241 Douglas Blvd, Ste 110, Roseville, CA 95661-3831 | 2005-07-01 |
| 1881691004 | Fabio Almeida | Nuclear Medicine | 2241 Douglas Blvd, Roseville, CA 95661-3831 | 2005-07-01 |
| 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.