John S Wilson (NPI# 1871537308, PAC ID# 1153229372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1871537308 |
| PAC ID by PECOS | 1153229372 |
| Professional Enrollment ID | I20080708000509 |
| Full Name | John S Wilson |
| Organization Legal Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| Address |
100 S San Mateo Dr San Mateo CA 94401-3805 |
| Phone Number | 6506964550 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0244144228 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050007 | PENINSULA MEDICAL CENTER |
| 050113 | SAN MATEO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 6506965400 | SUTTER BAY MEDICAL FOUNDATION |
| 100 S San Mateo Dr, San Mateo, CA 94401-3805 | 6506964550 | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| 100 S San Mateo Dr, San Mateo, CA 94401-3805 | 6506965400 | SUTTER BAY MEDICAL FOUNDATION |
| 222 W 39th Ave, San Mateo, CA 94403-4364 | 6505732222 | COUNTY OF SAN MATEO |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deddeh Monique Ballah | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 600 Marine Blvd, Moss Beach, CA 94038-9641 |
| Neil Hemant Thakur | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Dennis S Orwig | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 180 Rowland Way, Novato, CA 94945-5009 |
| Avanti Ambekar | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 935 El Camino Real, Suite 101, South San Francisco, CA 94080-3203 |
| Kelly R. Lindauer | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 23004 Whipsering Woods, Golden, CO 80401-8038 |
| Edward L Baker | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Jana M Crain | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 863 Corriente Point Dr, Redwood City, CA 94065-1284 |
| Betsy A Holland | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 1260 S Eliseo Dr, Suite 101, Greenbrae, CA 94904-2009 |
| Harriet B Borofsky | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3700 California St, San Francisco, CA 94118-1618 |
| Clay Napper | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3700 California St, San Francisco, CA 94118-1618 |
| Street Address |
100 S SAN MATEO DR |
| City | SAN MATEO |
| State | CA |
| Zip | 94401-3805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Chan | Emergency Medicine | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
| Quddusa Doongerwala | Psychiatry | 100 S San Mateo Dr, San Mateo, CA 94401-3805 | |
| Jeffrey J Guttas | Cardiovascular Disease (cardiology) | Jeffrey J Guttas Md A Medical Corporation | 100 S San Mateo Dr, Suite 400, San Mateo, CA 94401-3805 |
| Colin Khoshabian | Nurse Practitioner | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
| Michelle Lee | Nurse Practitioner | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
| Dhara M Macdermed | Radiation Oncology | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
| Gregory Matthew Lim | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
| Alberto A Bolanos | Orthopedic Surgery | 100 S San Mateo Dr, Suite 424, San Mateo, CA 94401-3805 | |
| Johanna M Wolgast | Family Medicine | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
| Susanne Martin | Emergency Medicine | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwin Chen | Chiropractic | 417 N San Mateo Dr, San Mateo, CA 94401-2417 | |
| Ian Y.h. Lin | Internal Medicine | 417 N San Mateo Dr, San Mateo, CA 94401-2417 | |
| Marilyn I Carmona | Chiropractic | 415 N San Mateo Dr, Suite 2, San Mateo, CA 94401-2494 | |
| Anthony Ferrera | Oral Surgery | 341 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2513 | |
| Thang Cao Nguyen | Family Medicine | 328 N San Mateo Dr, Suite A, San Mateo, CA 94401-2514 | |
| Edward C Sun | Orthopedic Surgery | 359 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2584 | |
| Jonathan M Rose | Psychologist, Clinical | 327 N San Mateo Dr, Suite 3, San Mateo, CA 94401-2585 | |
| Paul I Wachter | Psychiatry | 327 N San Mateo Dr, Suite 7, San Mateo, CA 94401-2585 | |
| Marcia J Schwartz | Clinical Psychologist | 215 N San Mateo Dr, Suite 9, San Mateo, CA 94401-2622 | |
| Gregory W Becker | Chiropractic | 215 N San Mateo Dr, 3 Becker Chiropractic, San Mateo, CA 94401-2674 | |
| Find all physicians in zip 94401 | |||
| City | SAN MATEO |
| Zip Code | 94401 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SAN MATEO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on John S Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.