Organization Active NPI

Prestige Radiology Inc

  • Radiology Clinic/Center
  • Redding, CA
National Provider Identifier
1316469034
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
435970 Issued in MN
Legal business name
PRESTIGE RADIOLOGY INC
Practice address
1157 Hilltop Dr
Redding, CA 96003-3814
Phone
(530) 669-1111
NPI assigned
Jul 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Mr. Brady JonesNPI 1326392549
Title
Director
Phone
(530) 227-5316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 435970 MN Primary

Addresses

Primary practice location

1157 Hilltop Dr
Redding, CA 96003-3814

Mailing address

1157 Hilltop Dr
Redding, CA 96003-3814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170829000661 CA Part B Supplier - Portable X-Ray Supplier 5395018220 Practice locations: Redding, CA

National Provider Directory

National Provider Directory

Locations

1320 Yuba St
Ste B3
Redding, CA 96001
Phone (530) 691-1117

1157 Hilltop Dr
Redding, CA 96003
Phone (530) 221-1519

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1316469034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 HILLTOP DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 HILLTOP DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033814",
            "telephone_number": "530-669-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "530-227-5316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MN",
            "license": "435970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.