Organization Active NPI

Medpixels Medical Services, PC

  • Radiology Clinic/Center
  • San Jose, CA
National Provider Identifier
1184904518
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
A97250 Issued in CA
Legal business name
MEDPIXELS MEDICAL SERVICES, PC
Practice address
2211 Moorpark Ave
Suite 290
San Jose, CA 95128-2663
Phone
(408) 646-2702
Fax
(408) 725-8561
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Mr. Raman Venkatraman
Title
Chief Financial Officer
Phone
(408) 646-2702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X A97250 CA Primary

Addresses

Primary practice location

2211 Moorpark Ave
Suite 290
San Jose, CA 95128-2663

Mailing address

10053 Bret Ave
Cupertino, CA 95014-3518
Phone (408) 646-2702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110919000702 CA Part B Supplier - Clinic/Group Practice 2466623616 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

2039 Forest Ave
Ste 205
San Jose, CA 95128
Phone (408) 780-8725

2211 Moorpark Ave
Ste 260
San Jose, CA 95128
Phone (408) 646-2704

2211 Moorpark Ave
Ste 290
San Jose, CA 95128
Phone (408) 646-2702

Practitioners & affiliated clinicians

Practitioners 2

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": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1184904518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10053 BRET AVE",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143518",
            "telephone_number": "408-646-2702",
            "fax_number": "408-725-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE",
            "address_2": "SUITE 290",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282663",
            "telephone_number": "408-646-2702",
            "fax_number": "408-725-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPIXELS MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "VENKATRAMAN",
        "authorized_official_first_name": "RAMAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "408-646-2702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "A97250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 10, 2012; 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.