Pediatric Imaging Medical Associates

Primary specialty

Pediatric Radiology PhysicianTaxonomy code 2085P0229X

Legal business name

PEDIATRIC IMAGING MEDICAL ASSOCIATES

Practice address

747 52ND St
Oakland, CA 94609-1809

Phone

(510) 428-3410

Fax

(510) 601-3968

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Cohen, MD

Title

President

Phone

(510) 428-3410

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1225084296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-3404",
            "fax_number": "415-883-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3410",
            "fax_number": "510-601-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC IMAGING MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-428-3410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ09080Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504919",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chrystal Pecot
• Jennifer Aline Pedelaborde
• Rachel Therese Pedemonte, FNP, RN
• Pediatric Contracting Services, Inc.
• Pediatric Hematology Oncology
• Pediatric Psychiatric Med Assoc Cho
• Pediatric Rehab Med Assoc
• Pediatric Surgical Associates of the East Bay
• Annie Rose Pedlar, FNP, DNP
• Andrea Pedraza

• Pediatric Radiology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.