MAINSTREAM VASCULAR DIAGNOSTIC IMAGING LABORATORIES (NPI# 1366560724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366560724 |
| Entity Type | Organization |
| Organization Name | MAINSTREAM VASCULAR DIAGNOSTIC IMAGING LABORATORIES |
| Other Organization Name | CAPITOL CARDIOVASCULAR IMAGING CENTER |
| Practice Address |
1315 Alhambra Blvd Suite 320 Sacramento CA 95816-5244 |
| Practice Telephone | 9167366033 |
| Practice Fax Number | 9167366034 |
| Mailing Telephone | 9167366033 |
| Mailing Fax Number | 9167366034 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. BRADEN JARED VICTOR (OWNER) |
| Authorized Official Telephone | 9167366033 |
| Authorized Official Credential | B.S., R.V.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Capitol Cardiovascular Imaging Center | Doing Business As Name - Organization |
| Street Address |
1315 ALHAMBRA BLVD SUITE 320 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942292693 | Robert Charles Daby | Dentist | 1315 Alhambra Blvd, Suite 300, Sacramento, CA 95816-5244 | 2005-08-18 |
| 1831701697 | Shailynn Marie Joseph | Behavior Technician | 1315 Alhambra Blvd, Sacramento, CA 95816-5244 | 2020-08-21 |
| 1669021762 | Rawan Nour | Behavior Technician | 1315 Alhambra Blvd, Sacramento, CA 95816-5244 | 2019-09-11 |
| 1588221543 | Jhonatan Josue Laguardia Guevara | Behavioral Analyst | 1315 Alhambra Blvd, Sacramento, CA 95816-5244 | 2019-05-24 |
| 1356575641 | Sutter West Bay Medical Foundation | Internal Medicine | 1315 Alhambra Blvd, #210, Sacramento, CA 95816-5244 | 2009-05-14 |
| 1275727513 | Andrew Sean Barak | Dentist | 1315 Alhambra Blvd, Suite 340, Sacramento, CA 95816-5244 | 2007-08-29 |
| 1417140732 | Richard F. Moorhouse | Dentist | 1315 Alhambra Blvd, 200, Sacramento, CA 95816-5244 | 2007-08-21 |
| 1700087913 | Cary Craig Syamken | Dentist | 1315 Alhambra Blvd, Suite 340, Sacramento, CA 95816-5244 | 2007-05-29 |
| 1295854347 | Buffington Eyecare | Optometrist | 1315 Alhambra Blvd, Suite 310, Sacramento, CA 95816-5244 | 2007-03-28 |
| 1932237054 | Joseph L Lilley | Optometrist | 1315 Alhambra Blvd, Ste 310, Sacramento, CA 95816 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 246XC2903X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Vascular Specialist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548811037 | Tayler Suzanne Kopperud | Spec/Tech, Cardiovascular | 4959 Palo Verde St Ste 208c-4, Montclair, CA 91763-2360 | 2019-09-25 |
| 1821468505 | Sally Botrus | Spec/Tech, Cardiovascular | 41054 Rawling Ct, Indio, CA 92203-4024 | 2015-10-07 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1932512720 | Davier Davon Mayes | Spec/Tech, Cardiovascular | 2334 10th St, Unit 1, Berkeley, CA 94710-2355 | 2014-06-09 |
| 1841568748 | Hector Solis | Spec/Tech, Cardiovascular | 2302 E Ward Ter, Anaheim, CA 92806-3657 | 2011-12-06 |
| 1053693135 | Cypress Point Healthcare Solutions, Inc | Spec/Tech, Cardiovascular | Cypress Diagnostic Imaging, 3230 Waring Ct Ste I, Oceanside, CA 92056-4509 | 2011-09-14 |
| 1437330107 | William Charles Huerta | Spec/Tech, Cardiovascular | 23135 Market St, Santa Clarita, CA 91321-3611 | 2007-11-21 |
| 1184842429 | Donald Andrew Barkley | Spec/Tech, Cardiovascular | 3534 Santa Carlotta St, Glendale, CA 91214-1115 | 2007-04-23 |
| 1568547099 | John Rosental | Spec/Tech, Cardiovascular | 1040 Elm Ave Ste 303, Long Beach, CA 90813-3267 | 2006-10-25 |
| 1285731307 | Cardiovascular Perfusion Systems | Spec/Tech, Cardiovascular | 1330 Corte De Primavera, Thousand Oaks, CA 91360-7026 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on MAINSTREAM VASCULAR DIAGNOSTIC IMAGING LABORATORIES.
| 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.