Organization Active NPI

Cardio Vascular Imaging Services Inc

  • Cardiovascular Specialist/Technologist
  • Redding, CA
National Provider Identifier
1083737100
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
Legal business name
CARDIO VASCULAR IMAGING SERVICES INC
Practice address
1850 Rosaline Ave
Redding, CA 96001
Phone
(530) 247-1880
Fax
(530) 248-3340
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Mr. Douglas Fairey, RVT RCS BS
Title
Owner
Phone
(530) 247-1880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246X00000X Primary

Addresses

Primary practice location

1850 Rosaline Ave
Redding, CA 96001

Mailing address

PO Box 492526
Redding, CA 96049
Phone (530) 247-1880

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ15665ZOtherCAMEDICARE- UNSPECIFIED

National Provider Directory

National Provider Directory

Locations

2701 Old Eureka Way
Redding, CA 96001
Phone (530) 241-4250

Practitioners & affiliated clinicians

Practitioners 1

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1083737100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492526",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96049",
            "telephone_number": "530-247-1880",
            "fax_number": "530-248-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 ROSALINE AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-247-1880",
            "fax_number": "530-248-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO VASCULAR IMAGING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "FAIREY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-247-1880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RVT RCS BS"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- UNSPECIFIED",
            "identifier": "ZZZ15665Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.