Organization Active NPI

Quantum Medical Radiology of California, P.C.

  • Diagnostic Radiology Physician
  • Petoskey, MI
National Provider Identifier
1336626696
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C.
Practice address
1625 Bear Creek LN Unit O
Petoskey, MI 49770-8378
Phone
(559) 455-4127
NPI assigned
Jul 19, 2018
Last updated
Nov 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Authorized official

Name
Francis Ferraro, MD
Title
Cfo
Phone
(559) 455-4127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1625 Bear Creek LN Unit O
Petoskey, MI 49770-8378

Mailing address

PO Box 72012
Cleveland, OH 44192-0002
Phone (877) 213-4065

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1336626696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72012",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "877-213-4065",
            "fax_number": "770-666-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 BEAR CREEK LN UNIT O",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708378",
            "telephone_number": "559-455-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "FERRARO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "559-455-4127",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.