Bodyplan Institute of Walnut Creek, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BODYPLAN INSTITUTE OF WALNUT CREEK, LLC

Doing business as

Walnut Creek Medical Imaging

Practice address

1255 S Main St
#202
Walnut Creek, CA 94596-5116

Phone

(925) 627-2777

Fax

(925) 627-2788

NPI assigned

May 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renee (None) Kavon

Title

V.P. Marketing & Contracting

Phone

(530) 367-5295

Specialties & licenses 1

Addresses

Other names 1

• Walnut Creek Medical Imaging Doing business as

Locations

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174571871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 S MAIN ST",
            "address_2": "#202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965116",
            "telephone_number": "925-627-2777",
            "fax_number": "925-627-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S MAIN ST",
            "address_2": "#202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965116",
            "telephone_number": "925-627-2777",
            "fax_number": "925-627-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYPLAN INSTITUTE OF WALNUT CREEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAVON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "(NONE)",
        "authorized_official_title_or_position": "V.P. MARKETING & CONTRACTING",
        "authorized_official_telephone_number": "530-367-5295"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Creek Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Boakye, DO
• Sean Boatright, C.P.
• Hailey Marie Bober
• Eugene D. Bobroff, MD
• Amy Elizabeth Bode
• Mary Lucille Boegel, M.D.
• Jamie Boer
• Christine Boesch
• Amy Boggs
• Leila Bogner, LMFT

• Diagnostic Radiology Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.