Active NPI
Lpmi Castro Valley, LLC
- Diagnostic Radiology Physician
- Castro Valley, CA
National Provider Identifier
1356429526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- LPMI CASTRO VALLEY, LLC
- Doing business as
- Castro Valley Advanced Medical Imaging
- Practice address
- 21030 Redwood Rd
Castro Valley, CA 94546-5920 - Phone
- (510) 537-4674
- Fax
- (877) 282-6480
- NPI assigned
- Nov 2, 2006
- 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
- Renee - Kavon
- Title
- V.P. Marketing & Payer Contracting
- Phone
- (530) 367-5295
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
21030 Redwood Rd
Castro Valley, CA 94546-5920
Mailing address
21030 Redwood Rd
Castro Valley, CA 94546-5920
Phone (510) 537-4674
Other names 1
- Castro Valley Advanced Medical Imaging
National Provider Directory
National Provider DirectoryLocations
File 50738
Los Angeles, CA 90074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356429526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21030 REDWOOD RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465920",
"telephone_number": "510-537-4674",
"fax_number": "877-282-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21030 REDWOOD RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465920",
"telephone_number": "510-537-4674",
"fax_number": "877-282-6480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LPMI CASTRO VALLEY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAVON",
"authorized_official_first_name": "RENEE",
"authorized_official_middle_name": "-",
"authorized_official_title_or_position": "V.P. MARKETING & PAYER CONTRACTING",
"authorized_official_telephone_number": "530-367-5295"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Castro Valley Advanced Medical Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.