Active NPI
Opensided MRI of Walnut Creek LLC
- Magnetic Resonance Imaging Radiologic Technologist
- Walnut Creek, CA
National Provider Identifier
1376564245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 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 DirectoryNPI 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.