Organization Active NPI

Precision Spine & Motion Imaging

  • Diagnostic Radiology Physician
  • Novato, CA
National Provider Identifier
1134083116
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PRECISION SPINE & MOTION IMAGING
Practice address
7595 Redwood Blvd Ste 104
Novato, CA 94945-7705
Phone
(415) 432-9285
NPI assigned
Dec 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Carolina Carbungco
Title
Office Manager
Phone
(415) 432-9285

Specialties & licenses 1

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

Addresses

Primary practice location

7595 Redwood Blvd Ste 104
Novato, CA 94945-7705

Mailing address

7595 Redwood Blvd Ste 104
Novato, CA 94945-7705
Phone (415) 432-9285

National Provider Directory

National Provider Directory

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": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1134083116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 REDWOOD BLVD STE 104",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949457705",
            "telephone_number": "415-432-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 REDWOOD BLVD STE 104",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949457705",
            "telephone_number": "415-432-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SPINE & MOTION IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "CARBUNGCO",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-432-9285"
    },
    "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 Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.