KENNEWICK RADIOLOGY GROUP, PC (NPI# 1730711854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730711854 |
| Entity Type | Organization |
| Organization Name | KENNEWICK RADIOLOGY GROUP, PC |
| Practice Address |
728 Murphy Dr San Mateo CA 94402-3421 |
| Mailing Address |
Po Box 4030 Pasco WA 99302-4030 |
| Practice Telephone | 8585463800 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | AMY ELIZABETH STEELE (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5594554109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205395803 | Kennewick Radiology Group, PC | Radiology | 3224 Freshwater Crk, Chico, CA 95973-2120 | 2019-03-14 |
| 1295209559 | Kennewick Radiology Group, PC | Radiology | 3731 Torrey View Ct, San Diego, CA 92130-2623 | 2019-01-18 |
| 1033683396 | Kennewick Radiology Group, PC | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2019-01-18 |
| 1851865117 | Kennewick Radiology Group, PC | Radiology | 215 Tiburon Ct, Walnut Creek, CA 94597-3437 | 2019-01-18 |
| 1588138846 | Kennewick Radiology Group, PC | Radiology | 3750 Whitman Cir, Carmel, CA 93923-8326 | 2019-01-18 |
| 1124592480 | Kennewick Radiology Group, PC | Radiology | 7204 Blairview Dr, Dallas, TX 75230-5415 | 2019-01-18 |
| 1669946927 | Kennewick Radiology Group, PC | Radiology | 7 Nightshore, Newport Coast, CA 92657-1519 | 2019-01-18 |
| 1114491479 | Kennewick Radiology Group, PC | Radiology | 765 La Mirada Ave, San Marino, CA 91108-1729 | 2019-01-18 |
| Street Address |
728 MURPHY DR |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992170542 | Modesto Radiological Medical Group, Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2015-12-08 |
| 1033688106 | Radiological Associates Medical Group, Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2018-11-19 |
| 1538637889 | Radiological Associates Medical Group, Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2018-11-05 |
| 1649778424 | Century Radiology Medical Group Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2018-01-26 |
| 1912425844 | Regional Diagnostic Imaging | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2017-08-30 |
| 1255856183 | Iv Radiology Medical Group | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2017-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| 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 |
|---|---|---|---|---|
| 1992170542 | Modesto Radiological Medical Group, Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2015-12-08 |
| 1003027806 | Michael G Myers Md and Eric Trefelner Md Inc | Radiology | 1475 Woodberry Ave, San Mateo, CA 94403-3712 | 2007-05-24 |
| 1396878435 | Beth Kleiner | Radiology | 101 S San Mateo Dr Ste 201, San Mateo, CA 94401-3843 | 2007-03-14 |
| 1033688106 | Radiological Associates Medical Group, Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2018-11-19 |
| 1538637889 | Radiological Associates Medical Group, Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2018-11-05 |
| 1649778424 | Century Radiology Medical Group Inc | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2018-01-26 |
| 1912425844 | Regional Diagnostic Imaging | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2017-08-30 |
| 1255856183 | Iv Radiology Medical Group | Radiology | 728 Murphy Dr, San Mateo, CA 94402-3421 | 2017-08-11 |
| 1679767313 | Sunayna Bakaya | Radiology | 101 South San Mateo Drive, Suite 201, San Mateo, CA 94401 | 2007-09-05 |
| 1285837906 | Doris Burton | Radiology | 101 S San Mateo Dr, San Mateo, CA 94401-3819 | 2007-06-08 |
| Find all providers in SAN MATEO | ||||
Please comment or provide details below to improve the information on KENNEWICK RADIOLOGY GROUP, PC.
| 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.