Radiology Associates of San Luis Obispo

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO

Doing business as

Five Cities Medical Imaging

Practice address

921 Oak Park Blvd
Ste 102
Pismo Beach, CA 93449

Phone

(805) 779-7900

Fax

(805) 779-7910

NPI assigned

Mar 3, 2006

Last updated

Dec 5, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

RADIOLOGY ASSOCIATES OF SAN LUIS OBISPOAs reported in NPPES

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

Authorized official

Name

Dr. William M. Russell, MDNPI 1104892454

Title

Managing Partner

Phone

(805) 461-7080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Five Cities Medical Imaging Doing business as

Part of

Bishop Med X-Ray Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Radiology Associates of San Luis Obispo

  • Diagnostic Radiology Physician
  • Atascadero, CA
  • NPI 1063612570
  NPPES parent name

Practitioners 1

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.

• William M. Russell, MD

  • Diagnostic Radiology Physician
  • Templeton, CA
  • NPI 1104892454
  Authorized official Same address or phone

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1306813886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2920",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934232920",
            "telephone_number": "805-461-7080",
            "fax_number": "805-464-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 OAK PARK BLVD",
            "address_2": "STE 102",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "93449",
            "telephone_number": "805-779-7900",
            "fax_number": "805-779-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "805-461-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0009777",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Cities Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shahriar Pirouz, M.D.
• Pismo Beach Recovery Inc
• Pismo Family Practice Medical Corporation a Ca Prof Medical Corp (Pismo Family Practice)
• Praise Behavior Service Inc.
• Wendy Purviance
• Radiology Associates of San Luis Obispo (Coastal Diagnostic Center/Arroyo Grande Hospital)
• Alexandra Renfrow
• Dennis Raoul Richardson, O.D.
• Riffelchiropractic
• Rand Cecil Ritchie, MD

• Radiology Clinic/Center in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.