NPIMap

Organization Active NPI

HD Ultrasound, LLC

  • Radiology Clinic/Center
  • San Jose, CA
National Provider Identifier
1053604652
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
HD ULTRASOUND, LLC
Practice address
625 Lincoln Ave
Suite 201
San Jose, CA 95126-3705
Phone
(408) 288-7705
Fax
(510) 217-9708
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Brad Hummel
Title
Chief Executive Officer
Phone
(415) 671-6819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

625 Lincoln Ave
Suite 201
San Jose, CA 95126-3705

Mailing address

360 Post St
Suite 1001
San Francisco, CA 94108-4912
Phone (415) 671-6819

Other names 1

  • Mint Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
HD Ultrasound2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

360 Post St
Ste 1001
San Francisco, CA 94108

625 Lincoln Ave
Ste 201
San Jose, CA 95126
Phone (408) 288-7705

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1053604652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 POST ST",
            "address_2": "SUITE 1001",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084912",
            "telephone_number": "415-671-6819",
            "fax_number": "510-217-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "address_2": "SUITE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263705",
            "telephone_number": "408-288-7705",
            "fax_number": "510-217-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HD ULTRASOUND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-671-6819"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.