NPIMap

Organization Active NPI

Silver Creek Radiology Professional Corporation

Doing business as Silver Creek Radiology

  • Diagnostic Radiology Physician
  • San Jose, CA
National Provider Identifier
1154790772
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SILVER CREEK RADIOLOGY PROFESSIONAL CORPORATION
Doing business as
Silver Creek Radiology
Practice address
2365 Quimby Rd
San Jose, CA 95122-1337
Phone
(650) 427-9887
Fax
(650) 618-5198
NPI assigned
Sep 24, 2015
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Bradford M. PiattNPI 1376591685
Title
Owner
Phone
(510) 451-0780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2365 Quimby Rd
San Jose, CA 95122-1337

Mailing address

PO Box 1631
Evansville, IN 47706-0032
Phone (669) 888-0001

Other names 1

  • Silver Creek Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, NM, NJ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20151216000652 CA Part B Supplier - Clinic/Group Practice 2466753439 Receives reassigned benefits from 20 practitioners
Practice locations: Vacaville, CA; Tustin, CA; Torrance, CA; Tarzana, CA; Studio City, CA; San Jose, CA; San Francisco, CA; Poway, CA…
O20160802002441 TX Part B Supplier - Clinic/Group Practice 2466753439 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX; San Antonio, TX
O20241210003367 NM Part B Supplier - Clinic/Group Practice 2466753439 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM
O20250711002794 NJ Part B Supplier - Clinic/Group Practice 2466753439 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, NJ

National Provider Directory

National Provider Directory

Locations

2365 Quimby Rd
San Jose, CA 95122
Phone (408) 531-9961

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1154790772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1631",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477060032",
            "telephone_number": "669-888-0001",
            "fax_number": "669-888-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 QUIMBY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221337",
            "telephone_number": "650-427-9887",
            "fax_number": "650-618-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK RADIOLOGY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "PIATT",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-451-0780"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Creek Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.