Organization Active NPI

Alvarado Radiology Group Inc, a Professional Corporation

  • Diagnostic Radiology Physician
  • San Ramon, CA
National Provider Identifier
1093279192
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ALVARADO RADIOLOGY GROUP INC, A PROFESSIONAL CORPORATION
Practice address
3192 Ashbrook LN
San Ramon, CA 94582-5704
Phone
(559) 455-4009
NPI assigned
Jan 23, 2019
Last updated
Jan 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Sandip Patidar, MD
Title
Owner
Phone
(559) 455-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

3192 Ashbrook LN
San Ramon, CA 94582-5704

Mailing address

PO Box 2039
Pasco, WA 99302-2039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1093279192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2039",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993022039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3192 ASHBROOK LN",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825704",
            "telephone_number": "559-455-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVARADO RADIOLOGY GROUP INC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "PATIDAR",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-455-4009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.