Radiologica Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A144278 Issued in CA

Legal business name

RADIOLOGICA INC.

Practice address

768 Mountain Ranch Rd
San Andreas, CA 95249-9707

Phone

(209) 754-2573

NPI assigned

Apr 14, 2018

Last updated

Nov 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pardeep Athwal, MD, MBANPI 1659697092

Title

President

Phone

(209) 754-2573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, PR, AZ, NY, MO, TX, NV, HI, FL, IL, OK, PA, AL, NJ, SC, OH, VA, IN, WI, WA21 enrollments

Enrollment records 21

Locations

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pardeep Athwal, M.D.

  • Diagnostic Radiology Physician
  • San Andreas, CA
  • NPI 1659697092
  Medicare reassignment Care Compare group NPD Authorized official
• Amar Manoj Amin, MD

  • Diagnostic Radiology Physician
  • Escondido, CA
  • NPI 1316181225
  Medicare reassignment Care Compare group NPD
• Michael Joseph Baggett, MD

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1831693902
  Medicare reassignment Care Compare group NPD
• Jack L Chen, M.D.

  • Diagnostic Radiology Physician
  • Tarzana, CA
  • NPI 1134169139
  Medicare reassignment Care Compare group NPD
• Ankur Ajay Doshi, MD

  • Vascular & Interventional Radiology Physician
  • Fremont, CA
  • NPI 1033508353

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• William V Glenn, MD

  • Diagnostic Radiology Physician
  • Manhattan Beach, CA
  • NPI 1447270608
  Medicare reassignment Care Compare group NPD
• Vikram Mysore Hatti, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1447202460
  Medicare reassignment Care Compare group NPD
• David Bruce Jackson, M.D.

  • Diagnostic Radiology Physician
  • Chino Hills, CA
  • NPI 1063564748

  HI

  Medicare reassignment Care Compare group NPD
• Asha Kavali, M.D.

  • Diagnostic Radiology Physician
  • Visalia, CA
  • NPI 1649488545
  Medicare reassignment Care Compare group NPD
• Thomas J Kelly, MD

  • Diagnostic Radiology Physician
  • Loma Linda, CA
  • NPI 1760421432
  Medicare reassignment Care Compare group NPD
• Salma H. Khan, M D.

  • Diagnostic Radiology Physician
  • Irvine, CA
  • NPI 1205927902
  Medicare reassignment Care Compare group NPD
• Michael Kupfer, M.D.

  • Diagnostic Radiology Physician
  • West Hills, CA
  • NPI 1811949860
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542844800000",
    "number": "1073000105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GLASS LN STE C",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569287",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 MOUNTAIN RANCH RD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499707",
            "telephone_number": "209-754-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGICA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-14",
        "last_updated": "2018-11-22",
        "status": "A",
        "authorized_official_last_name": "ATHWAL",
        "authorized_official_first_name": "PARDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-754-2573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A144278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Picasso
• Tandis Kaye Pourbastani
• Premier Emergency Physicians of California Medical Group PC
• Danielle Lorraine Pullin
• Danielle Pyevich, MD
• Richard Radliff
• Kimberley Dawn Rainier, B.S.
• Carrie Elizabeth Rakestraw, REGISTERED NURSE
• Jesus Arturo Tapia Retamoza
• Julie Anne Reynolds

• Diagnostic Radiology Physician in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2018; 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.