Benjamin Addicott (NPI# 1093077356, PAC ID# 1052676764) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1093077356 |
PAC ID by PECOS | 1052676764 |
Professional Enrollment ID | I20180530002068 |
Full Name | Benjamin Addicott |
Organization Legal Name | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
Address |
2309 Antonio Ave Camarillo CA 93010-1414 |
Phone Number | 8053895655 |
Gender | M |
Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
Graduation Year | 2012 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 9436229887 |
Number of Group Practice Members | 67 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050232 | FRENCH HOSPITAL MEDICAL CENTER |
050506 | SIERRA VISTA REGIONAL MEDICAL CENTER |
050107 | MARIAN REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 8054894261 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
2309 Antonio Ave, Camarillo, CA 93010-1414 | 8053895655 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
921 Oak Park Blvd, Suite 102, Pismo Beach, CA 93449-3289 | 8057797900 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 8055467600 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
1911 Johnson Ave, San Luis Obispo, CA 93401-4131 | 8055435353 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
522 Plaza Dr, Santa Maria, CA 93454-6908 | 8059283673 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
523 Barcellus Ave, Santa Maria, CA 93454-6919 | 8059283673 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
1310 Las Tablas Rd, Suite 103, Templeton, CA 93465-9746 | 8054340829 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
Organization Legal Name | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
Physicians | 32 |
Name | Specialty | Organization | Address |
---|---|---|---|
Linda Mulder | Diagnostic Radiology | California Managed Imaging Medical Group Inc | 351 S Patterson, Santa Barbara, CA 93111-2403 |
Donna E Winingham | Diagnostic Radiology | California Managed Imaging Medical Group Inc | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Arthur C Duberg | Diagnostic Radiology | California Managed Imaging Medical Group Inc | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Daniel T Fox | Radiation Oncology | California Managed Imaging Medical Group Inc | 147 N Brent St, Ventura, CA 93003-2809 |
John D Wrench | Diagnostic Radiology | California Managed Imaging Medical Group Inc | 147 N Brent St, Ventura, CA 93003-2809 |
William M Russell | Diagnostic Radiology | California Managed Imaging Medical Group Inc | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
William J Theurer | Diagnostic Radiology | California Managed Imaging Medical Group Inc | 147 N Brent St, Ventura, CA 93003-2809 |
Teresa Ann Oneill | Nurse Practitioner | California Managed Imaging Medical Group Inc | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Timothy L Auran | Diagnostic Radiology | California Managed Imaging Medical Group Inc | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Marlon D Black | Diagnostic Radiology | California Managed Imaging Medical Group Inc | 147 N Brent St, Ventura, CA 93003-2809 |
Street Address |
2309 ANTONIO AVE |
City | CAMARILLO |
State | CA |
Zip | 93010-1414 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christine H Chang | Emergency Medicine | Cep America - California | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Donna E Winingham | Diagnostic Radiology | California Managed Imaging Medical Group Inc | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Eric Andrew Gustafson | Internal Medicine | Inpatient Specialists of California PC | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Thinn Thinn Wah | Internal Medicine | Inpatient Specialists of California PC | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Julian Chiang | Obstetrics/gynecology | Ob 24 Medical Group Inc | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Arthur C Duberg | Diagnostic Radiology | California Managed Imaging Medical Group Inc | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Trevor C Wilson | Emergency Medicine | Cep America - California | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Robert J Martin | Anesthesiology | Oxnard Camarillo Anesthesiology Medical Group | 2309 Antonio Ave, Camarillo, CA 93010-1401 |
William M Russell | Diagnostic Radiology | California Managed Imaging Medical Group Inc | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Michael M Ngumi | Internal Medicine | Inpatient Specialists of California PC | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jon H Williams | Podiatry | 2486 Ponderosa Dr N, D100, Camarillo, CA 93010 | |
Shahira Mcelhanon | Chiropractic | Long Chiropractic Professional Corporation | 1000 Paseo Camarillo, Suite 118, Camarillo, CA 93010-0722 |
Steven D Jensen | Chiropractic | 1000 Paseo Camarillo, Suite 118, Camarillo, CA 93010-0722 | |
Katherine L Hamilton | Psychologist, Clinical | 1000 Paseo Camarillo, Suite 114, Camarillo, CA 93010-0751 | |
Lisa Hayden | Psychologist, Clinical | 1000 Paseo Camarillo, Suite 114, Camarillo, CA 93010-0751 | |
Michael H Mcquillan | Optometry | 761 E Daily Dr, Suite 120, Camarillo, CA 93010-0777 | |
William L Tellez | Anesthesiology | Oxnard Camarillo Anesthesiology Medical Group | Pleasant Valley Hosp, 2309 Antonio Ave, Camarillo, CA 93010-1401 |
Sharad N Sharma | Anesthesiology | Oxnard Camarillo Anesthesiology Medical Group | Pleasant Valley Hosp, 2309 Antonio Ave, Camarillo, CA 93010-1401 |
Mark E Harlacher | Anesthesiology | Oxnard Camarillo Anesthesiology Medical Group | 2309 Antonio Ave, Camarillo, CA 93010-1401 |
David N Aguilar | Anesthesiology | Oxnard Camarillo Anesthesiology Medical Group | 2309 Antonio Ave, Camarillo, CA 93010-1401 |
Find all physicians in zip 93010 |
City | CAMARILLO |
Zip Code | 93010 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | CAMARILLO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Benjamin Addicott.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.