Organization Active NPI

Advantage MRI Roseville LP

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Roseville, CA
National Provider Identifier
1346775665
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
ADVANTAGE MRI ROSEVILLE LP
Practice address
2990 Lava Ridge CT
Suite100
Roseville, CA 95661-3057
Phone
(916) 929-2178
Fax
(916) 929-2178
NPI assigned
Apr 24, 2017
Last updated
Jul 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Authorized official

Name
Miss Hannah Schwartz
Title
Cfo
Phone
(714) 479-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

2990 Lava Ridge CT
Suite100
Roseville, CA 95661-3057

Mailing address

2990 Lava Ridge CT
Suite100
Roseville, CA 95661-3057
Phone (916) 929-2178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170530002515 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6406123157 Practice locations: Roseville, CA

National Provider Directory

National Provider Directory

Locations

2990 Lava Ridge Ct
Ste 100
Roseville, CA 95661
Phone (916) 780-1221

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1346775665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 LAVA RIDGE CT",
            "address_2": "SUITE100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613057",
            "telephone_number": "916-929-2178",
            "fax_number": "916-929-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 LAVA RIDGE CT",
            "address_2": "SUITE100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613057",
            "telephone_number": "916-929-2178",
            "fax_number": "916-929-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE MRI ROSEVILLE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-479-0400",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.