Active NPI
Prestige Radiology Inc
- Radiology Clinic/Center
- Redding, CA
National Provider Identifier
1316469034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 435970
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brady Jones
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170829000661 | CA | Part B Supplier - Portable X-Ray Supplier | 5395018220 | Practice locations: Redding, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Radiologic Technologist
- Redding, CA
- NPI 1326392549
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.