KC Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

KC IMAGING, LLC

Practice address

2970 Hilltop Mall Rd
Suite 103
Richmond, CA 94806-1947

Phone

(510) 223-5122

Fax

(510) 223-5225

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Terri Perez

Title

Administrator

Phone

(510) 223-5122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elliott Jay Wagner, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1558312579
  NPD
• Justin Q. Ly, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
  • NPI 1770560542
  NPD
• Michael Yuz, M.D.

  • Diagnostic Radiology Physician
  • Fort Lauderdale, FL
  • NPI 1710972617
  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1205842978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD",
            "address_2": "SUITE 103",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061947",
            "telephone_number": "510-223-5122",
            "fax_number": "510-223-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD",
            "address_2": "SUITE 103",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061947",
            "telephone_number": "510-223-5122",
            "fax_number": "510-223-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-223-5122"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Patrice Katigbak
• Madeleine F Katz, B.A.
• Amrit Kaur
• Brahamjot Kaur
• Sarvjeet Kaur
• Cora Bast Keeney, MSW, PPSC
• Huong Le Keim, ASW
• Kimberley Kekow
• Sheila Kelly-Helfrich
• Doretta Kerl

• Diagnostic Radiology Physician in Richmond, CA
• Providers in Richmond, 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 Sep 10, 2014; 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.