CARDIO VASCULAR IMAGING SERVICES INC (NPI# 1083737100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083737100 |
| Entity Type | Organization |
| Organization Name | CARDIO VASCULAR IMAGING SERVICES INC |
| Practice Address |
1850 Rosaline Ave Redding CA 96001 |
| Mailing Address |
Po Box 492526 Redding CA 96049 |
| Practice Telephone | 5302471880 |
| Practice Fax Number | 5302483340 |
| Mailing Telephone | 5302471880 |
| Mailing Fax Number | 5302483340 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-03-24 |
| Authorized Official Name | MR. DOUGLAS FAIREY (OWNER) |
| Authorized Official Telephone | 5302471880 |
| Authorized Official Credential | RVT RCS BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246X00000X | Spec/Tech, Cardiovascular | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE- UNSPECIFIED | ZZZ15665Z | 01 |
| Street Address |
1850 ROSALINE AVE |
| City | REDDING |
| State | CA |
| Zip Code | 96001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356319651 | Raileen C Lagoc | Pediatrics | 1850 Rosaline Ave, Redding, CA 96001-2534 | 2006-03-10 |
| 1720415011 | Redding Pediatrics, Inc | Clinic/Center | 1850 Rosaline Ave, Redding, CA 96001-2534 | 2013-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 246X00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 159. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841712221 | Cynthia Castillo | Spec/Tech, Cardiovascular | 4742 Canyon River Court, San Josse, CA 95136 | 2017-07-07 |
| 1538693866 | Davis Medical Electronics Inc | Spec/Tech, Cardiovascular | 2441 Cades Way Ste 200, Vista, CA 92081-7884 | 2017-04-13 |
| 1841741345 | Aimee Olivet | Spec/Tech, Cardiovascular | 328 Crest Ave, Alamo, CA 94507-2641 | 2016-10-19 |
| 1437556156 | Joseph Daniel Matthews | Spec/Tech, Cardiovascular | 65 Nielson St, 101, Watsonville, CA 95076-2491 | 2014-11-24 |
| 1619220415 | Carol F Carter | Spec/Tech, Cardiovascular | 640 Clay St, 103, San Francisco, CA 94111-2502 | 2012-10-18 |
| 1346568144 | Beyond Imaging | Spec/Tech, Cardiovascular | 18657 Brookhurst St, Fountain Valley, CA 92708-6709 | 2010-05-04 |
| 1619155967 | Oleg Geller | Spec/Tech, Cardiovascular | 11717 Balboa Blvd, Granada Hills, CA 91344-2712 | 2008-02-07 |
| 1871704478 | Jaime J Mourad | Spec/Tech, Cardiovascular | 5926 Alessandro Ave Apt 9, Temple City, CA 91780-1941 | 2007-05-24 |
| 1629294335 | James Patrick Mccarthy | Spec/Tech, Cardiovascular | 1014 Solana Dr, Mountain View, CA 94040-2232 | 2007-04-18 |
| 1427178946 | Robert A. Lane | Spec/Tech, Cardiovascular | 123 N Jackson St, Apt D., Glendale, CA 91206-4327 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
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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.