Michael J Lane (NPI# 1336110667, PAC ID# 9830231489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1336110667 |
| PAC ID by PECOS | 9830231489 |
| Professional Enrollment ID | I20100121000080 |
| Full Name | Michael J Lane |
| Organization Legal Name | QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C. |
| Address |
1412 Sapphire Dr Carlsbad CA 92011-1200 |
| Phone Number | 4048702802 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0446321004 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050367 | NORTHBAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1412 Sapphire Dr, Carlsbad, CA 92011-1200 | 4048702802 | QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C. |
| Organization Legal Name | QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William K Hooks Iii | Diagnostic Radiology | Quantum Medical Radiology of California, P.C. | 18335 Sunshine Ct, La Puente, CA 91744-5973 |
| Robert T Reinke | Diagnostic Radiology | Quantum Medical Radiology of California, P.C. | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 |
| Carey M Hindman | Diagnostic Radiology | Quantum Medical Radiology of California, P.C. | 1315 Roberts St, Camden, SC 29020-3737 |
| Meena K Gursahani | Diagnostic Radiology | Quantum Medical Radiology of California, P.C. | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 |
| Street Address |
1412 SAPPHIRE DR |
| City | CARLSBAD |
| State | CA |
| Zip | 92011-1200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy D Lewis | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| William A Kosik | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Katherine Lorraine Waters | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Christine Clermont | Occupational Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Amyn Valji | Occupational Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Kimberly Gates | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Erin Bo Brooks | Occupational Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Nicholas David Lacey | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Donovan R Curtis | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Nicole Anderson | Physical Therapy | Proactive Physical Therapy and Sports Medicine, Inc | 6070 Avenida Encinas, Suite 100, Carlsbad, CA 92011-1001 |
| Find all physicians in zip 92011 | |||
| City | CARLSBAD |
| Zip Code | 92011 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CARLSBAD + DIAGNOSTIC RADIOLOGY |
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| 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.