Organization Active NPI

Opensided MRI of Walnut Creek LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Walnut Creek, CA
National Provider Identifier
1376564245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
OPENSIDED MRI OF WALNUT CREEK LLC
Practice address
710 South Broadway
Ste 203
Walnut Creek, CA 94596
Phone
(888) 701-6736
Fax
(925) 974-1294
NPI assigned
Jul 23, 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
Linda Rhodes
Title
Officer Treasurer
Phone
(804) 217-7114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X Primary

Addresses

Primary practice location

710 South Broadway
Ste 203
Walnut Creek, CA 94596

Mailing address

710 South Broadway
Ste 203
Walnut Creek, CA 94596
Phone (888) 701-6736

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376564245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SOUTH BROADWAY",
            "address_2": "STE 203",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "888-701-6736",
            "fax_number": "925-974-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SOUTH BROADWAY",
            "address_2": "STE 203",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "888-701-6736",
            "fax_number": "925-974-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENSIDED MRI OF WALNUT CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICER TREASURER",
        "authorized_official_telephone_number": "804-217-7114"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, 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.