AMILCARE GENTILI


Address: 12519 Grevillea Place, San Diego, CA 92160-4896
Phone: 2162555700

AMILCARE GENTILI (NPI# 1922086594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922086594
Entity Type Individual
Full Name AMILCARE GENTILI
Credential MD
Practice Address 12519 Grevillea Place
San Diego
CA 92160-4896
Mailing Address 23625 Commerce Park
Suite 204
Beachwood
OH 44122
Practice Telephone 2162555700
Practice Fax Number 2162555701
Mailing Telephone 2162555701
Mailing Fax Number 2162555701
Enumeration Date 2006-01-04
Last Update Date 2007-11-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
A44208 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A442080 05
TRICARE WEST 34196095944193 01

Office Location

Street Address 12519 GREVILLEA PLACE
City SAN DIEGO
State CA
Zip Code 92160-4896

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790208155 St. Jude Radiology Medical Group, Inc. Radiology 8070 Entrada De Luz E, San Diego, CA 92127-2561 2017-07-18
1225586423 Regional Diagnostic Imaging Radiology 3731 Torrey View Ct, San Diego, CA 92130-2623 2016-09-15
1093127680 William James Tom Radiology 200 West Arbor Drive, Mc 0834, San Diego, CA 92103-0834 2014-05-30
1649697947 Ashley Caitlin Altman Radiology Uc San Diego Health, 200 West Arbor Drive, Mc 8829, San Diego, CA 92103 2014-03-25
1477811693 Michele Christina Mcgahan Radiology 8745 Aero Drive #200, San Diego, CA 92193-3540 2012-04-25
1447557996 Luke R Scalcione Radiology 7540 Charmant Dr, Apt 1216, San Diego, CA 92122-5044 2011-02-18
1144537606 Jasmine Jamin Koo Radiology 5330 Carroll Canyon Rd Ste 140, San Diego, CA 92121-3758 2010-09-04
1265743595 David R Wallace Jr. Radiology 200 W Arbor Dr # Mc0834, Department of Radiology, San Diego, CA 92102-0834 2010-07-01
1881837748 John Joseph Krol Radiology 11125 Red Cedar Dr, San Diego, CA 92131-1309 2009-04-08
1700022712 Thomas N. Folan Radiology 425 W Beech St Unit 1707, San Diego, CA 92101-2965 2008-12-22
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Competitor

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City SAN DIEGO
Zip Code 92160

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Dataset Information

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.

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