SILVER CREEK RADIOLOGY PROFESSIONAL CORPORATION (NPI# 1154790772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154790772 |
| Entity Type | Organization |
| Organization Name | SILVER CREEK RADIOLOGY PROFESSIONAL CORPORATION |
| Practice Address |
2365 Quimby Rd San Jose CA 95122-1337 |
| Mailing Address |
Po Box 17912 Reno NV 89511-1034 |
| Practice Telephone | 6504279887 |
| Practice Fax Number | 6506185198 |
| Mailing Telephone | 8883331723 |
| Mailing Fax Number | 8054340721 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | DR. DONALD SIAO (PRESIDENT) |
| Authorized Official Telephone | 6698880001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2365 QUIMBY RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659752798 | Evergreen Sleep Center | Internal Medicine | 2365 Quimby Rd, Suite 210, San Jose, CA 95122-1337 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| Find all providers in zip 95122 | ||||
| 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 |
|---|---|---|---|---|
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1174814214 | Bhargav Raman | Radiology | 2039 Forest Ave Ste 205, San Jose, CA 95128-4817 | 2011-04-25 |
| 1649596792 | Omnirad Medical Group, Inc. | Radiology | 2410 Samaritan Dr Ste 101, San Jose, CA 95124-3909 | 2010-04-14 |
| 1275775207 | Priyanka Jha | Radiology | 750 Cedarville Ln, San Jose, CA 95133-2076 | 2009-04-06 |
| 1346345360 | John Randolph Jinkins | Radiology | 828 S Bascom Ave Ste 110, San Jose, CA 95128-2652 | 2006-09-14 |
| 1356352660 | Radiological Associates Medical Group, Inc | Radiology | 2410 Samaritan Drive, Suite 102, San Jose, CA 95124-3909 | 2006-08-11 |
| 1780621763 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 550 S Winchester Blvd Ste 110, San Jose, CA 95128-2526 | 2006-05-31 |
| 1558322180 | Michael Glenn Myers | Radiology | 6496 Deer Hollow Dr, San Jose, CA 95120-1634 | 2006-03-31 |
| 1568453421 | Rory Satterfield | Radiology | 798 S Winchester Blvd, San Jose, CA 95128-2928 | 2005-10-31 |
| 1528054582 | Glenn Strome | Radiology | 3031 Tisch Way Ste 400, San Jose, CA 95128-2531 | 2005-09-26 |
| Find all providers in SAN JOSE | ||||
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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.