CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. (NPI# 1962683789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962683789 |
Entity Type | Organization |
Organization Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
Practice Address |
925 Ironwood Dr Suite 1106 Minden NV 89423-5178 |
Mailing Address |
Po Box 6102 Novato CA 94948-6102 |
Practice Telephone | 7757837850 |
Practice Fax Number | 4158838082 |
Mailing Telephone | 4158843418 |
Enumeration Date | 2007-11-20 |
Last Update Date | 2008-03-19 |
Authorized Official Name | MICHAEL P. BELICK (C.E.O.) |
Authorized Official Telephone | 4158843096 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | RAILROAD MEDICARE | DG7274 | 01 |
NV | 1962683789 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558695635 | California Advanced Imaging Medical Associates, Inc. | Radiology | 72-124 Hali'ipua Place, Unit 12, Kailua Kona, HI 96745 | 2009-09-23 |
1225073091 | California Advanced Imaging Medical Associates, Inc. | Nuclear Medicine | 347 Andrieux St Dept Of, Sonoma, CA 95476-6811 | 2006-06-17 |
1346297678 | California Advanced Imaging Medical Associates, Inc. | Radiology | 600 Marine Blvd, Moss Beach, CA 94038-9641 | 2006-05-30 |
1093171522 | California Advanced Imaging Medical Associates, Inc. | Radiology | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2016-01-13 |
1497182638 | California Advanced Imaging Medical Associates, Inc. | Radiology | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2013-10-02 |
1639315740 | California Advanced Imaging Medical Associates, Inc. | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947-6921 | 2008-12-18 |
1841475258 | California Advanced Imaging Medical Associates, Inc. | Radiology | 775 Fleischmann Way, Carson City, NV 89703-2995 | 2008-01-03 |
1104000140 | California Advanced Imaging Medical Associates, Inc. | Radiology | 901 Medical Center Dr, Dayton, NV 89403-7456 | 2007-12-27 |
1932380227 | California Advanced Imaging Medical Associates, Inc. | Radiology | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2007-11-15 |
1255530606 | California Advanced Imaging Medical Associates, Inc. | Radiology | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2007-07-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | California Advanced Imaging Medical Associates, Inc. | 500 Redwood Blvd, Suite 300, Novato, CA 94947 |
Street Address |
925 IRONWOOD DR SUITE 1106 |
City | MINDEN |
State | NV |
Zip Code | 89423-5178 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215938394 | John R Holman | Family Medicine | 925 Ironwood Dr, Suite 2102, Minden, NV 89423-5178 | 2005-08-10 |
1902456478 | Carson Tahoe Regional Healthcare | Clinic/Center | 925 Ironwood Dr, Minden, NV 89423-5178 | 2019-09-17 |
1083067631 | Kindal Lee Andrews | Nurse Practitioner | 925 Ironwood Dr, Suite 2102, Minden, NV 89423-5178 | 2016-07-19 |
1376830554 | Mountainview Medical Associates | Pediatrics | 925 Ironwood Dr, Suite 2108, Minden, NV 89423-5178 | 2011-07-07 |
1023311784 | Carson Tahoe Physician Clinics - Minden #3 | Family Medicine | 925 Ironwood Dr, Suite 2105, Minden, NV 89423-5178 | 2010-12-17 |
1518267301 | Carson Tahoe Physician Clinics | Family Medicine | 925 Ironwood Dr, Suite 2103, Minden, NV 89423-5178 | 2010-10-26 |
1780997726 | Carson Tahoe Physician Clinics | Internal Medicine | 925 Ironwood Dr, Suite 2107, Minden, NV 89423-5178 | 2010-07-20 |
1588895874 | Carson Tahoe Physician Clinics | Internal Medicine | 925 Ironwood Dr, #2108, Minden, NV 89423-5178 | 2009-08-04 |
1902000441 | Jeanne Millios | Nurse Practitioner | 925 Ironwood Dr, Minden, NV 89423-5178 | 2007-06-11 |
1720195233 | Elizabeth A Mokrohisky | Nurse Practitioner | 925 Ironwood Dr, Suite 2108, Minden, NV 89423-5178 | 2006-08-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124404728 | Jenna Ortiz | Counselor | 1650 Hwy 395 N, Suite 103a, Minden, NV 89423 | 2015-08-05 |
1508270042 | Courtney Michele Carmichael Hight | Physical Therapist | 1642 Mackland Ave, Minden, NV 89423 | 2014-06-12 |
1205274834 | Robert William Stone | Rehabilitation Practitioner | 1512 Hwy 395 N, Suite 3, Gardnerville, NV 89423 | 2013-06-05 |
1992068316 | David S Hoskins Md, Ltd | Family Medicine | 1664 Hwy 395 North, Suite 201, Minden, NV 89423 | 2012-06-20 |
1831450915 | Rachel Arvella Pryde | Social Worker | 1644 Highway 395 N, Suite D, Minden, NV 89423 | 2012-06-05 |
1316229610 | Jay D Marriage | Dentist | 1700 County Road, Suite E, Minden, NV 89423 | 2011-09-13 |
1053590760 | Gail Jean Jacobs | Social Worker | 1650 Hwy 395 Suite 202c, Minden, NV 89423 | 2007-10-30 |
1972797835 | Steven Brown Md PC | Internal Medicine | 1667 Lucerne Dr, Ste A, Minden, NV 89423 | 2007-09-04 |
1760681365 | Optimalaire Inc | Durable Medical Equipment & Medical Supplies | 2559-1 Precision Drive, Suite 1, Minden, NV 89423 | 2007-07-13 |
1316167406 | Jay D Marriage Dds | Dentist | 1700 County Rd, Suite B, Minden, NV 89423 | 2007-04-30 |
Find all providers in zip 89423 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245370527 | Robert Webster Stewart | Radiology | 1 Medical Plaza Pl, Minden, LA 71055-3330 | 2007-02-07 |
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1235775115 | Smi Imaging LLC | Radiology | 6301 Mountain Vista St Ste 103, Henderson, NV 89014-2365 | 2019-11-26 |
1124664008 | Smi Imaging LLC | Radiology | 861 Coronado Center Dr Ste 101, Henderson, NV 89052-3992 | 2019-11-26 |
1366000622 | 6radiology | Radiology | 11266 Parleys Cone Ct, Las Vegas, NV 89135-1839 | 2019-06-03 |
1124502562 | Radiology Consultants, LLC | Radiology | 896 W Nye Lane, Suite 102, Carson City, NV 89703-1567 | 2018-09-21 |
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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.