REVEAL DIAGNOSTICS, LLC (NPI# 1851709984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851709984 |
| Entity Type | Organization |
| Organization Name | REVEAL DIAGNOSTICS, LLC |
| Other Organization Name | REVEAL DIAGNOSTICS |
| Practice Address |
6080 Hellyer Ave Suite 175 San Jose CA 95138-1052 |
| Mailing Address |
490 Post St Suite 301 San Francisco CA 94102-1401 |
| Practice Telephone | 8889738325 |
| Practice Fax Number | 8888086160 |
| Mailing Telephone | 8889738325 |
| Mailing Fax Number | 8888086160 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |
| Authorized Official Name | MR. MARSHALL BRICKEEN (OWNER) |
| Authorized Official Telephone | 8889738325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Reveal Diagnostics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689083719 | Reveal Diagnostics, LLC | Radiology | 19682 Hesperian Blvd, Suite 206, Hayward, CA 94541-4752 | 2014-08-02 |
| 1598013930 | Reveal Diagnostics, LLC | Radiology | 490 Post St, Suite 301, San Francisco, CA 94102-1401 | 2012-08-15 |
| 1487902821 | Reveal Diagnostics, LLC | Radiology | 100 W El Camino Real, Suite 63b, Mountain View, CA 94040-2664 | 2012-08-15 |
| Street Address |
6080 HELLYER AVE SUITE 175 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95138-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952857823 | Pacific Regenerative and Interventional Sports Medicine | Clinic/Center | 6080 Hellyer Ave, Suite 100, San Jose, CA 95138-1052 | 2016-08-30 |
| 1568837060 | Prism | Clinic/Center | 6080 Hellyer Ave, Suite 100, San Jose, CA 95138-1052 | 2015-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1548690324 | Megan Chang | Occupational Therapist | 5900, Pistoia Way, San Jose, CA 95138 | 2013-11-15 |
| 1720428410 | Cristina Duenas | Social Worker | 5855 Silver Creek Valley Pl, San Jose, CA 95138 | 2013-06-27 |
| 1174967079 | Guardian Sleep Clinic, LLC | Clinical Medical Laboratory | 315 Piercy Rd, San Jose, CA 95138 | 2013-04-22 |
| 1871847889 | Rebecca Kerry Van Sickle | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2012-10-30 |
| 1366720906 | Ariosa Diagnostics, Inc. | Clinical Medical Laboratory | 5945 Optical Court, San Jose, CA 95138 | 2011-08-01 |
| 1043406713 | Umaru Fofana | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138 | 2007-09-17 |
| 1316140569 | Dickman & Bourla Chiropractic Inc | Chiropractor | 2311 Silver Breeze Ct, San Jose, CA 95138 | 2007-06-06 |
| 1508983032 | Traci Pickett | Counselor | 9500 Malech Road, San Jose, CA 95138 | 2007-03-22 |
| Find all providers in zip 95138 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205007366 | Thomas Charles Mccarthy | Radiology | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2008-03-17 |
| 1164508628 | Raymond Hung | Radiology | 751 S Bascom Ave, Diagnostic Imaging, San Jose, CA 95128-2604 | 2006-10-27 |
| 1568558047 | Harry Leroy Morrison | Radiology | 751 S Bascom Ave, Diagnostic Imaging, San Jose, CA 95128 | 2006-10-04 |
| 1245322189 | Jeffrey Tseng | Radiology | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2006-09-28 |
| 1356446835 | Rajul Pandit | Radiology | 751 S Bascom Ave, Diagnostic Imaging Dept, San Jose, CA 95128-2604 | 2006-09-13 |
| 1871559229 | Edward Arthur Lebowitz | Radiology | 751 S Bascom Ave, Diagnostic Imaging Department, San Jose, CA 95128-2604 | 2006-04-25 |
| 1912963638 | John Chi-hang Lau | Radiology | 751 S Bascom Ave, Diagnostic Imaging Department, San Jose, CA 95128-2604 | 2006-04-21 |
| 1407819592 | Lee Howard Fisher | Radiology | 751 S Bascom Ave, Diagnostic Imaging Department, San Jose, CA 95128-2604 | 2006-04-10 |
| 1366405953 | Keith Edward Fraker | Radiology | 751 S Bascom Ave, Diagnostic Imaging Department, San Jose, CA 95128-2604 | 2006-04-06 |
| 1295797322 | Samuel K Dawn | Radiology | 751 S Bascom Ave, Diagnostic Imaging Dept, San Jose, CA 95128-2604 | 2006-04-04 |
| Find all providers in SAN JOSE | ||||
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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.