NPIMap

Organization Active NPI

Advanced Medical Imaging Inc

  • Sonography Radiologic Technologist
  • Folsom, CA
National Provider Identifier
1316947658
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
ADVANCED MEDICAL IMAGING INC
Practice address
80 Iron Point Circle
#118
Folsom, CA 95630-6449
Phone
(916) 984-8102
Fax
(916) 984-8115
NPI assigned
Jul 28, 2005
Last updated
Oct 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Pamela Ann Courtney
Title
Office Manager
Phone
(916) 984-8102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471S1302X Primary

Addresses

Primary practice location

80 Iron Point Circle
#118
Folsom, CA 95630-6449

Mailing address

80 Iron Point Circle
#118
Folsom, CA 95630-6449
Phone (916) 984-8102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051206001026 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850311796 Practice locations: Folsom, CA

National Provider Directory

National Provider Directory

Locations

2600 E Bidwell St
Ste 230
Folsom, CA 95630
Phone (916) 984-8102

Practitioners & affiliated clinicians

Practitioners 68

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.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1316947658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 IRON POINT CIRCLE",
            "address_2": "#118",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306449",
            "telephone_number": "916-984-8102",
            "fax_number": "916-984-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 IRON POINT CIRCLE",
            "address_2": "#118",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306449",
            "telephone_number": "916-984-8102",
            "fax_number": "916-984-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-984-8102"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.