NPIMap

Organization Active NPI

Quantum Medical Radiology of California, P.C.

  • Diagnostic Radiology Physician
  • Burlingame, CA
National Provider Identifier
1043633829
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C.
Practice address
138 Victoria Rd
Burlingame, CA 94010-2959
Phone
(415) 444-6300
NPI assigned
Jan 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Dr. Eugene Scott Pretorius, M.D.
Title
Authorized Official
Phone
(760) 778-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

138 Victoria Rd
Burlingame, CA 94010-2959

Mailing address

PO Box 14267
Palm Desert, CA 92255-4267
Phone (877) 213-4065

National Provider Directory

National Provider Directory
Tax ID family
Quantum Medical Radiology of California PC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1043633829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14267",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922554267",
            "telephone_number": "877-213-4065",
            "fax_number": "770-666-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 VICTORIA RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102959",
            "telephone_number": "415-444-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "PRETORIUS",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "760-778-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.