CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC. (NPI# 1619921186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619921186 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC. |
| Practice Address |
863 Corriente Point Dr Redwood City CA 94065-1284 |
| Mailing Address |
Po Box 6102 Novato CA 94948-6102 |
| Practice Telephone | 4158843404 |
| Practice Fax Number | 4158830877 |
| Mailing Telephone | 4158843418 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | MR. MICHAEL P BELICK (C.E.O.) |
| Authorized Official Telephone | 4158843096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0003149 | 05 | |
| CA | RAILROAD MEDICARE | CI2439 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 Campus Dr, Suite 113, Daly City, CA 940154900 | 6509942595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780621763 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 550 S Winchester Blvd Ste 110, San Jose, CA 95128-2526 | 2006-05-31 |
| 1629025457 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 1720 El Camino Real Ste 118, Burlingame, CA 94010-3225 | 2006-05-27 |
| 1689628679 | California Advanced Imaging Medical Assoc., Inc. | Clinic/Center | 1260 S Eliseo Dr Ste 101, Greenbrae, CA 94904-2009 | 2006-05-22 |
| 1346490174 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 611 Abbott St Ste 102, Salinas, CA 93901-4391 | 2008-09-29 |
| 1851332258 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 2170 South Ave, S Lake Tahoe, CA 96150-7026 | 2006-06-09 |
| 1487693933 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 180 Rowland Way, Radiology Dept., Novato, CA 94945-5009 | 2006-06-06 |
| 1689613929 | California Advanced Imaging Medical Assoc., Inc. | Clinic/Center | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1141 | 2006-06-05 |
| 1396783288 | California Advanced Imaging Medical Assoc., Inc. | Nuclear Medicine | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2006-06-03 |
| 1538107396 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2006-06-03 |
| 1679520738 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 935 El Camino Real, South San Francisco, CA 94080-3203 | 2006-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | California Advanced Imaging Medical Associates, Inc. | 500 Redwood Blvd, Suite 300, Novato, CA 94947 |
| Street Address |
863 CORRIENTE POINT DR |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94065-1284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110599 | Alex Edward Cessna | Behavior Technician | 3004 Whisperwave Cir, Redwood City, CA 94065 | 2019-08-23 |
| 1982126488 | Redwood Shores Dental Care | Dentist | 278 Redwood Shores Parkway, Redwood City, CA 94065 | 2017-07-17 |
| 1669911582 | Elderly Manor Affiliation Inc. | Durable Medical Equipment & Medical Supplies | 554 Keelson Cir, Redwood City, CA 94065 | 2017-02-13 |
| 1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
| 1669789467 | Stephen P Tran | Massage Therapist | 130 Shortline Drive Suite 130, Redwood City, CA 94065 | 2010-09-01 |
| 1437480654 | Kristel Damasco | Massage Therapist | 250c Twin Dolphin Drive, Redwood City, CA 94065 | 2010-01-28 |
| 1770705964 | Safe At Home Health Care, Inc | Physical Therapist | 38 Barcelona Circle, Redwood City, CA 94065 | 2007-05-03 |
| 1952440653 | Cynthia Wong Rose | Social Worker | 333 Twin Dolphin, 2nd Flr Kaiser Redwood City Inpatient Psychiatry Admin, Redwood City, CA 94065 | 2007-02-06 |
| 1023429859 | Diane Angela Fong | Naturopath | 5050 El Camino Real, Ste 110, Los Altos, CA 94065 | 2014-05-14 |
| 1760523088 | Katalina Ramirez | Dentist | 358 Marine Pkwy, Suite 300a, Redwood City, CA 94065 | 2007-02-09 |
| Find all providers in zip 94065 | ||||
| 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 |
|---|---|---|---|---|
| 1508347212 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 631 True Wind Way Unit 208, Redwood City, CA 94063-5735 | 2018-08-22 |
| 1043338163 | Damon P Miller II | Radiology | 1735 E Bayshore Rd Ste 31a, Redwood City, CA 94063-4158 | 2007-03-27 |
| 1558324582 | Kiren Savita Jain | Radiology | 2900 Whipple Avenue, Suite 100, Redwood City, CA 94062 | 2006-04-10 |
| 1760657415 | Avani Patel Gupta | Radiology | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2008-04-24 |
| 1376750059 | Roopa Vemireddy | Radiology | 1150 Veterans Blvd., Redwood City, CA 94063 | 2007-05-16 |
| 1124106778 | Sherry A. Butler | Radiology | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-01 |
| 1811931611 | Michael David Hollett | Radiology | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2006-06-15 |
| 1366485575 | Richard Lee Wheat | Radiology | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2006-06-14 |
| 1679516785 | California Advanced Imaging Medical Associates, Inc. | Radiology | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2799 | 2006-06-14 |
| 1447299201 | Vincent Depaul Burke | Radiology | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2799 | 2006-06-06 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94065 |
Please comment or provide details below to improve the information on CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC..
| 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.