Individual provider Active NPI

Philomina Duesdieker, RDMS, RVT

  • Sonography Radiologic Technologist
  • Salinas, CA
National Provider Identifier
1316373541
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
18341 Issued in CA
Practice address
47 San Miguel Ave Ste 4
Salinas, CA 93901-3058
Phone
(831) 272-3576
Fax
(831) 272-3576
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 18341 CA Primary
Vascular Sonography Radiologic Technologist 2471V0105X 18341 CA

Addresses

Primary practice location

47 San Miguel Ave Ste 4
Salinas, CA 93901-3058

Mailing address

47 San Miguel Ave Ste 4
Salinas, CA 93901-3058
Phone (831) 272-3576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Ultrasound Imaging Inc. Vascular Sonography Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1316373541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 SAN MIGUEL AVE STE 4",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013058",
            "telephone_number": "831-272-3576",
            "fax_number": "831-272-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 SAN MIGUEL AVE STE 4",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013058",
            "telephone_number": "831-272-3576",
            "fax_number": "831-272-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUESDIEKER",
        "first_name": "PHILOMINA",
        "name_prefix": "Mrs.",
        "credential": "RDMS, RVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "CA",
            "license": "18341",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "CA",
            "license": "18341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.