San Joaquin Valley Imaging Services, Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

SAN JOAQUIN VALLEY IMAGING SERVICES, INC

Practice address

6121 N Thesta St Ste 106
Fresno, CA 93710-5294

Phone

(559) 432-5633

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Bruce J Witmer, M.D.NPI 1548286255

Title

President

Phone

(559) 432-5633

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Portable X-ray supplier certification: CCN 05X0010045

Legal name

SAN JOAQUIN VALLEY IMAGING SERVICES

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Feb 24, 2015

Last certification

Feb 18, 2025

Ownership / control type

Corporation

Facility address

6121 N Thesta St #108 (RHB 69108)
Fresno, CA 93710

Locations

Practitioners 3

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

• Bruce James Witmer, M.D.

  • Specialist
  • Fresno, CA
  • NPI 1548286255
  NPD Authorized official
• Amitabh U Goswami, D.O., M.P.H.

  • Interventional Pain Medicine Physician
  • Fresno, CA
  • NPI 1447451539
  NPD (past)
• Don Kevin Lester, MD

  • Orthopaedic Surgery Physician
  • Fresno, CA
  • NPI 1467568550
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1043307549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 W ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115779",
            "telephone_number": "559-432-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105294",
            "telephone_number": "559-432-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN VALLEY IMAGING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "WITMER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-432-5633",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel P. Au, MD, Inc.
• Kimberly Courtney Samuelson Visher, RD
• San Joaquin Accident and Medical Group, Inc.
• San Joaquin Medical Transportation Inc
• San Joaquin Totalcare
• San Joaquin Valley Interventional Pain Medical Group
• Michele Gonzales San Jose, RN
• San Lorenzo Home Health (Home Health Agency)
• Austin San
• Socheata San

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Fresno, CA
• Providers in Fresno, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.