Organization Active NPI

Vision Upright MRI, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • San Jose, CA
National Provider Identifier
1063662583
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
VISION UPRIGHT MRI, LLC
Practice address
828 S Bascom Ave
Suite 110
San Jose, CA 95128-2652
Phone
(408) 292-7970
Fax
(408) 292-7966
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Mr. Allan Mercer
Title
Ceo
Phone
(516) 849-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

828 S Bascom Ave
Suite 110
San Jose, CA 95128-2652

Mailing address

828 S Bascom Ave
Suite 110
San Jose, CA 95128-2652
Phone (408) 292-7970

Other identifiers 1

IdentifierTypeStateIssuer
8339440MedicaidCA

National Provider Directory

National Provider Directory

Locations

828 S Bascom Ave
Ste 110
San Jose, CA 95128
Phone (408) 292-7970

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1063662583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 S BASCOM AVE",
            "address_2": "SUITE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282652",
            "telephone_number": "408-292-7970",
            "fax_number": "408-292-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 S BASCOM AVE",
            "address_2": "SUITE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282652",
            "telephone_number": "408-292-7970",
            "fax_number": "408-292-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION UPRIGHT MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-849-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8339440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 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.