NPIMap

Organization Active NPI

Pacific Imaging Consultants, a Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Oakland, CA
National Provider Identifier
1265480099
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PACIFIC IMAGING CONSULTANTS, A MEDICAL GROUP, INC.
Practice address
411 30TH St
#508
Oakland, CA 94609-3310
Phone
(925) 274-4950
Fax
(925) 274-4975
NPI assigned
May 4, 2006
Last updated
Dec 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Authorized official

Name
Mr. Craig Malcom
Title
Practice Administrator
Phone
(925) 274-4950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

411 30TH St
#508
Oakland, CA 94609-3310

Mailing address

411 30TH St
#508
Oakland, CA 94609-3310
Phone (925) 274-4950

National Provider Directory

National Provider Directory

Locations

2191 Mowry Ave
Ste 500H
Fremont, CA 94538
Phone (415) 595-8687

401 29th St
Ste 112
Oakland, CA 94609
Phone (510) 663-1950

1580 Valencia St
Ste 404
San Francisco, CA 94110
Phone (415) 647-1828

Practitioners & affiliated clinicians

Practitioners 71

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 71

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1265480099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 30TH ST",
            "address_2": "#508",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093310",
            "telephone_number": "925-274-4950",
            "fax_number": "925-274-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 30TH ST",
            "address_2": "#508",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093310",
            "telephone_number": "925-274-4950",
            "fax_number": "925-274-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC IMAGING CONSULTANTS, A MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "MALCOM",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "925-274-4950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.