NPIMap

Organization Active NPI

Silicon Valley Medical Imaging Inc a Medical Corporation

  • Nuclear Medicine Physician
  • Fremont, CA
National Provider Identifier
1376730358
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
A79514 Issued in CA
Legal business name
SILICON VALLEY MEDICAL IMAGING INC A MEDICAL CORPORATION
Practice address
2191 Mowry Ave Ste 500H
Fremont, CA 94538-1725
Phone
(415) 595-8687
NPI assigned
Oct 3, 2007
Last updated
Mar 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Puneet Chandak, M.D.NPI 1043276900
Title
Ceo / President
Phone
(415) 595-8687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X A79514 CA Primary

Addresses

Primary practice location

2191 Mowry Ave Ste 500H
Fremont, CA 94538-1725

Mailing address

48912 Crown Ridge CMN
Fremont, CA 94539-8331
Phone (415) 595-8687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071215000242 CA Part B Supplier - Clinic/Group Practice 2961592878 Receives reassigned benefits from 10 practitioners
Practice locations: Fremont, CA

National Provider Directory

National Provider Directory
Tax ID family
Silicon Valley Medical Imaging Inc a Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1999 Mowry Ave
Ste L
Fremont, CA 94538
Phone (510) 373-3000

2191 Mowry Ave
Ste 500H
Fremont, CA 94538
Phone (415) 595-8687

731 A St
Ste 204
Hayward, CA 94541

19682 Hesperian Blvd
Ste 101A
Hayward Acres, CA 94541
Phone (510) 783-0536

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1376730358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48912 CROWN RIDGE CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945398331",
            "telephone_number": "415-595-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 MOWRY AVE STE 500H",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381725",
            "telephone_number": "415-595-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILICON VALLEY MEDICAL IMAGING INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "CHANDAK",
        "authorized_official_first_name": "PUNEET",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "415-595-8687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "A79514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.