Radiology Medical Group of Santa Cruz County Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC.

Doing business as

Agile Radiology

Practice address

911 Sunset Dr
Hollister, CA 95023-5606

Phone

(831) 637-5711

NPI assigned

Feb 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Roy E Martinez, M.D.NPI 1093714511

Title

President

Phone

(831) 476-1542

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Agile Radiology Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Radiology Medical Group of Santa Cruz County Inc

  • Diagnostic Radiology Physician
  • Watsonville, CA
  • NPI 1922016815

  O20040426001018

  Same enrollment
• Radiology Medical Group of Santa Cruz County Inc

  • Diagnostic Radiology Physician
  • Santa Cruz, CA
  • NPI 1962415208

  O20040426001018

  Same enrollment

Locations

Practitioners 5

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

• Roy Elias Martinez, M.D.

  • Diagnostic Radiology Physician
  • Santa Cruz, CA
  • NPI 1093714511
  NPD Authorized official
• Annette Janelle Rasi, MD

  • Diagnostic Radiology Physician
  • Salinas, CA
  • NPI 1235147125
  NPD
• Juan Roberto Rodriguez, MD

  • Diagnostic Radiology Physician
  • Salinas, CA
  • NPI 1942235254
  NPD
• Hoang Anh Tran Vo, M.D.

  • Diagnostic Radiology Physician
  • Santa Cruz, CA
  • NPI 1457597387
  NPD
• Richard Alan Williams, MD

  • Diagnostic Radiology Physician
  • Santa Cruz, CA
  • NPI 1952315350
  NPD

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1265857759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 SOQUEL DR STE G",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651709",
            "telephone_number": "831-476-1542",
            "fax_number": "831-464-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 SUNSET DR",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235606",
            "telephone_number": "831-637-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-476-1542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ81760Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agile Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emily Miriam Quiroz Lopez
• Maya Torres Quiroz
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• Joshua Jacob Ramirez
• Kaylee Melissa Ramirez
• Monica Ramos
• Monica Nicole Ramos, RD

• Diagnostic Radiology Physician in Hollister, CA
• Providers in Hollister, 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 Jun 4, 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.