SUTTER BUTTES IMAGING MEDICAL GROUP, INC. (NPI# 1487632055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487632055 |
| Entity Type | Organization |
| Organization Name | SUTTER BUTTES IMAGING MEDICAL GROUP, INC. |
| Practice Address |
945 Shasta St Yuba City CA 95991-4114 |
| Practice Telephone | 5306718564 |
| Practice Fax Number | 5306718592 |
| Mailing Telephone | 5306718564 |
| Mailing Fax Number | 5306718592 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | ART HEALY (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5306718564 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDIARE ID | ZZZ72933Z | 01 | |
| CA | ZZZ72933Z | 05 | |
| CA | ZZZ72907Z | 05 | |
| MEDICARE ID | ZZZ72907Z | 01 |
| Street Address |
945 SHASTA ST |
| City | YUBA CITY |
| State | CA |
| Zip Code | 95991-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841278348 | Susan Arlene Lott | Radiology | 945 Shasta St, Yuba City, CA 95991-4114 | 2006-01-04 |
| 1093133597 | Kristofer Langheinrich | Radiology | 945 Shasta St, Yuba City, CA 95991-4124 | 2014-04-01 |
| 1508125048 | Benjamin Nasman | Radiology | 945 Shasta St, Yuba City, CA 95991-4114 | 2012-05-03 |
| 1104019421 | Howard J Youngworth | Radiology | 945 Shasta St, Sutter Buttes Imaging Medical Group, Inc, Yuba City, CA 95991-4114 | 2007-08-20 |
| 1134271828 | Robert T. Wankmuller Sr. | Radiology | 945 Shasta St, Yuba City, CA 95991-4114 | 2007-01-16 |
| 1366455784 | Rahul Gupta | Radiology | 945 Shasta St, Yuba City, CA 95991-4114 | 2006-08-15 |
| 1639157167 | Robert T Wankmuller Jr. | Radiology | 945 Shasta St, Yuba City, CA 95991-4114 | 2006-01-05 |
| 1356329932 | Nelson C Frink | Radiology | 945 Shasta St, Yuba City, CA 95991-4114 | 2006-01-04 |
| 1952389546 | Daniel Marc Dorsey | Radiology | 945 Shasta St, Yuba City, CA 95991-4114 | 2006-01-04 |
| 1326026832 | Alka Thakran | Radiology | 945 Shasta St, Yuba City, CA 95991-4114 | 2006-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670290 | Dr. Page Hudson Dental Corporation | Dentist | 871 Gray Avenue, Suite B, Yuba City, CA 95991 | 2020-02-10 |
| 1457990756 | Amar Sohail, Dds, Inc | Dentist | 718 W. Onstott Frontage Road, Yuba City, CA 95991 | 2020-01-03 |
| 1295370203 | An M Vo | Physical Therapist | 825 Jones Road, Yuba City, CA 95991 | 2019-11-13 |
| 1720551021 | Brittany L Adams | Behavior Technician | 471 Century Dr., Ste.b, Yuba City, CA 95991 | 2019-01-09 |
| 1124538681 | Youth for Change | Clinic/Center | 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 | 2017-10-10 |
| 1760902076 | Licia Dering | Behavior Technician | 1425 Tradewind Drive, Yuba City, CA 95991 | 2017-06-27 |
| 1306371059 | Hafiz Feezer Kassam | Orthopaedic Surgery | 470 Plumas Blvd Ste 201, Yuba City, CA 95991 | 2017-05-01 |
| 1912444357 | Daniel & Max, LLC | Optometrist | 444 Colusa Ave., Suite A, Yuba City, CA 95991 | 2017-01-24 |
| 1790041556 | Deanna Marie Pollock | Anesthesiology | 460 Plumas Blvd Ste 202, Yuba City, CA 95991 | 2012-04-05 |
| 1053689406 | Michael Tzung-hsun Yang | Pharmacist | 2555 Aurora Drive, Yuba City, CA 95991 | 2011-12-13 |
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| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295827996 | Precise Radioloical Associates, Inc. | Clinic/Center | 470 Plumas Blvd, Suite 101, Yuba City, CA 95991-5077 | 2006-09-29 |
| 1821076407 | Sutter Buttes Mri | Clinic/Center | 945 Shasta St, Yuba City, CA 95991-4114 | 2006-01-04 |
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| 1982240321 | United Care Foundation | Clinic/Center | 2233 Watt Ave Ste 120, Sacramento, CA 95825-0569 | 2019-11-20 |
| 1932744893 | Westcoast Radiology Associates Pllc | Clinic/Center | 4193 Flat Rock Dr Ste 200, Riverside, CA 92505-7113 | 2019-11-14 |
| 1518502087 | Ishraf Corporation | Clinic/Center | 5720 Stoneridge Mall Rd Ste 288, Pleasanton, CA 94588-2830 | 2019-11-08 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
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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.