NPIMap

Organization Active NPI

Neuroscan

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1104871060
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NEUROSCAN
Practice address
115 La Casa Via
Suite 202
Walnut Creek, CA 94598-3042
Phone
(925) 296-7156
Fax
(925) 296-7174
NPI assigned
May 22, 2006
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Richard Michael Sigel, M.D.
Title
Chairman
Phone
(925) 296-7156

Specialties & licenses 1

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

Addresses

Primary practice location

115 La Casa Via
Suite 202
Walnut Creek, CA 94598-3042

Mailing address

175 Lennon LN
Suite 100
Walnut Creek, CA 94598-2485
Phone (925) 296-7156

National Provider Directory

National Provider Directory

Locations

3160 Crow Canyon Rd
Ste 180
San Ramon, CA 94583
Phone (925) 866-9447

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1104871060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LENNON LN",
            "address_2": "SUITE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982485",
            "telephone_number": "925-296-7156",
            "fax_number": "925-296-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LA CASA VIA",
            "address_2": "SUITE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983042",
            "telephone_number": "925-296-7156",
            "fax_number": "925-296-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSCAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "SIGEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "925-296-7156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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 Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.