RANDY KENT KNUTZON (NPI# 1730185620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730185620 |
| Entity Type | Individual |
| Full Name | RANDY KENT KNUTZON |
| Credential | MD |
| Practice Address |
1640 E Roseville Pkwy Ste 100 Roseville CA 95661-3988 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9167842277 |
| Practice Fax Number | 9169321104 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2015-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
A46090 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
A46090 | CA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
A46090 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A46090 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
A46090 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A46090 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0205X |
Radiology Specialization: Radiological Physics |
A46090 | CA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
A46090 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1640 E ROSEVILLE PKWY STE 100 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073756185 | Catherine A Eskander | Internal Medicine | 1640 E Roseville Pkwy, Ste 150, Roseville, CA 95661-3902 | 2009-04-20 |
| 1558342089 | Radiological Associates of Sacramento Medical Group | Radiology | 1640 E Roseville Pkwy, Suite 100, Roseville, CA 95661-3988 | 2005-11-10 |
| 1518954577 | Vipin Bansal | Radiology | 1640 E Roseville Pkwy, Suite 100, Roseville, CA 95661-3902 | 2005-10-04 |
| 1093712143 | Regan Asher | Radiology | 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661-3988 | 2005-07-05 |
| 1215934328 | John P Farkas | Radiology | 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661-3988 | 2005-07-05 |
| 1801893995 | Hani B. Greiss | Radiology | 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661-3988 | 2005-07-05 |
| 1255337960 | Jim Chin-sin Chen | Radiology | 1640 E Roseville Pkwy, Roseville, CA 95661-3988 | 2005-06-27 |
| 1164428876 | Richard Childrey Gross | Radiology | 1640 E Roseville Pkwy, Roseville, CA 95661-3988 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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. |
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|---|---|---|---|---|
| 1962821207 | Peyman Kangavari | Radiology | 8700 Beverly Blvd # M335, West Hollywood, CA 90048-1804 | 2014-04-15 |
| 1871914457 | Syrone Liu | Radiology | 1000 W. Carson St., Box 27, Torrance, CA 90509 | 2013-12-26 |
| 1629411061 | Arian Mashhood | Radiology | 3801 Miranda Ave Bldg 102, Palo Alto, CA 94304-1207 | 2013-04-16 |
| 1790049773 | Maximilian Yue Cho | Radiology | 110 W Las Tunas Dr Ste A, San Gabriel, CA 91776-1346 | 2012-06-25 |
| 1356604797 | Fan Yang | Radiology | 505 Parnassus Ave Rm L-371, San Francisco, CA 94143-2204 | 2012-06-20 |
| 1851653513 | Cynthia Marie Chan | Radiology | 300 Pasteur Dr Rm Stanford, Stanford, CA 94305-2200 | 2012-06-08 |
| 1346509197 | Ashkon Senaati | Radiology | 1801 W Romneya Dr Ste 104, Anaheim, CA 92801-1824 | 2012-05-15 |
| 1609165356 | Shota Yamamoto | Radiology | 26161 Marguerite Pkwy Ste A, Mission Viejo, CA 92692 | 2011-04-04 |
| 1497059976 | Kenneth W Albertson | Radiology | 845 Armada Ter, San Diego, CA 92106-3055 | 2010-12-27 |
| 1124331095 | Alireza Sedaghat Namini | Radiology | 27401 Los Altos Ste 180, Mission Viejo, CA 92691-8012 | 2010-07-21 |
| 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.