NPIMap

Organization Active NPI

Solano Diagnostics Partners, LP

  • Diagnostic Radiology Physician
  • Westlake Village, CA
National Provider Identifier
1053788968
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SOLANO DIAGNOSTICS PARTNERS, LP
Practice address
3460 Ridgeford Dr
Westlake Village, CA 91361-4818
Phone
(818) 212-4127
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Elnora Cameron
Title
President
Phone
(707) 646-3288

Specialties & licenses 1

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

Addresses

Primary practice location

3460 Ridgeford Dr
Westlake Village, CA 91361-4818

Mailing address

Dept 34591
P.O. Box 39000
San Francisco, CA 94139-0001
Phone (855) 820-5256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330000319 CA Part B Supplier - Clinic/Group Practice 4587556865 Receives reassigned benefits from 80 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA; Orinda, CA; Piedmont, CA; Redwood City, CA; Saint Helena, CA; Saratoga, CA; Stanford, CA; Tiburon, CA…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1053788968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 34591",
            "address_2": "P.O. BOX 39000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941390001",
            "telephone_number": "855-820-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 RIDGEFORD DR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614818",
            "telephone_number": "818-212-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANO DIAGNOSTICS PARTNERS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "ELNORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-646-3288"
    },
    "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 Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.