Organization Active NPI

Surgical Imaging Services Inc.

  • Radiography Radiologic Technologist
  • Fairfield, CA
National Provider Identifier
1366521767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
RHF64899 Issued in CA
Legal business name
SURGICAL IMAGING SERVICES INC.
Practice address
782 Dynasty Dr
Fairfield, CA 94534-6612
Phone
(707) 207-0899
Fax
(707) 207-0898
NPI assigned
Nov 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Josephine Marie Shemaria
Title
Director of Operations
Phone
(707) 207-0899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X RHF64899 CA Primary

Addresses

Primary practice location

782 Dynasty Dr
Fairfield, CA 94534-6612

Mailing address

782 Dynasty Dr
Fairfield, CA 94534-6612

National Provider Directory

National Provider Directory

Locations

1615 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (916) 681-9401

4300 Golden Center Dr
Ste E
Placerville, CA 95667
Phone (530) 344-1680

1213 University Blvd NE
Albuquerque, NM 87102
Phone (505) 272-2231

Practitioners & affiliated clinicians

Practitioners 1

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": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366521767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 DYNASTY DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 DYNASTY DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346612",
            "telephone_number": "707-207-0899",
            "fax_number": "707-207-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL IMAGING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEMARIA",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "707-207-0899",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "CA",
            "license": "RHF64899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, 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.