NORTH BAY CARDIAC IMAGING INC (NPI# 1881771566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881771566 |
| Entity Type | Organization |
| Organization Name | NORTH BAY CARDIAC IMAGING INC |
| Practice Address |
4740 Hoen Ave Suite B Santa Rosa CA 95405-7824 |
| Practice Telephone | 7076365550 |
| Practice Fax Number | 7076365553 |
| Mailing Telephone | 7076365550 |
| Mailing Fax Number | 7076365553 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-08-02 |
| Authorized Official Name | DR. SANJAY CHAMANLAL DHAR (PRESIDENT) |
| Authorized Official Telephone | 7076365550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTAN | ZZZ25421Z | 01 |
| Street Address |
4740 HOEN AVE SUITE B |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811074586 | Sanjay Chamanlal Dhar | Internal Medicine | 4740 Hoen Ave, Santa Rosa, CA 95405-7824 | 2006-11-01 |
| 1255696910 | Jody Lynn Pennycook | Physician Assistant | 4740 Hoen Ave, Santa Rosa, CA 95405-7824 | 2012-07-09 |
| 1114099884 | North Bay Cardiology Inc. | Internal Medicine | 4740 Hoen Ave, Santa Rosa, CA 95405-7824 | 2006-11-15 |
| 1821160599 | Stephen Wayne Halpern | Internal Medicine | 4740 Hoen Ave, Santa Rosa, CA 95405-7824 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992130439 | Thomas Francis Budinger | Nuclear Medicine | 966 Euclid Ave, Berkeley, CA 94708-1436 | 2013-09-03 |
| 1891063020 | Zaman Javaheri | Nuclear Medicine | 14561 Curry Ct, Auburn, CA 95602-8488 | 2011-12-02 |
| 1750680302 | Nova M Isaac | Nuclear Medicine | 300 Pasteur Dr Rm H2200, Stanford, CA 94305-5281 | 2011-03-22 |
| 1578731808 | Hemet Kherbache | Nuclear Medicine | 557 E Cypress Ave Apt G, Burbank, CA 91501-3201 | 2008-02-20 |
| 1316124662 | Maria Rita Guevara | Nuclear Medicine | 12253 Dehougne St, North Hollywood, CA 91605-5611 | 2008-01-29 |
| 1003938473 | West Coast Radiology Center, Inc | Nuclear Medicine | 1100-a N. Tustin Avenue, Santa Ana, CA 92705 | 2007-04-04 |
| 1316061674 | Ali Abaian | Nuclear Medicine | 8460 S Central Ave, Los Angeles, CA 90001-3761 | 2007-03-19 |
| 1194825703 | David J. Rossman | Nuclear Medicine | 5395 Ruffin Rd Ste 202, San Diego, CA 92123-1338 | 2006-09-24 |
| 1568478436 | Brian Keith Gamble | Nuclear Medicine | 10701 Riverside Dr, Suite 16, Toluca Lake, CA 91602-2384 | 2006-07-31 |
| 1306892195 | Molecular Imaging Management LLC. | Nuclear Medicine | 12524 W Washington Blvd, 12524 W. Washington Blvd, Los Angeles, CA 90066-5506 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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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.