Organization Active NPI

Lpmi Castro Valley, LLC

  • Diagnostic Radiology Physician
  • Castro Valley, CA
National Provider Identifier
1356429526
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.