Organization Active NPI

Osteoporosis Diagnostic Center

  • Bone Densitometry Radiologic Technologist
  • Eureka, CA
National Provider Identifier
1003963299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Bone Densitometry Radiologic TechnologistTaxonomy code 2471B0102X
License
C034152 Issued in CA
Legal business name
OSTEOPOROSIS DIAGNOSTIC CENTER
Practice address
2773 Harris St
Suite F
Eureka, CA 95503-4866
Phone
(707) 445-1600
Fax
(707) 445-3778
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gena C Pennington, M.D.NPI 1831186501
Title
Partner
Phone
(707) 445-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Bone Densitometry Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471B0102X C034152 CA Primary

Addresses

Primary practice location

2773 Harris St
Suite F
Eureka, CA 95503-4866

Mailing address

2773 Harris St
Suite F
Eureka, CA 95503-4866
Phone (707) 445-1600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003963299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 HARRIS ST",
            "address_2": "SUITE F",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034866",
            "telephone_number": "707-445-1600",
            "fax_number": "707-445-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2773 HARRIS ST",
            "address_2": "SUITE F",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034866",
            "telephone_number": "707-445-1600",
            "fax_number": "707-445-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPOROSIS DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "GENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "707-445-1600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2471B0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": "CA",
            "license": "C034152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.