Golden Gate Radiology Medical Group, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

GOLDEN GATE RADIOLOGY MEDICAL GROUP, INC

Practice address

386 Gellert Blvd
Daly City, CA 94015-2611

Phone

(415) 677-2320

Fax

(415) 677-2444

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Roger Eng, M.D.NPI 1871607291

Title

Authorized Official

Phone

(559) 455-4109

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Golden Gate Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1073654232

  O20070530000364

  Same enrollment

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger S Eng, MD

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1871607291
  NPD Authorized official
• Frank M Hartwick, MD

  • Diagnostic Radiology Physician
  • Lodi, CA
  • NPI 1336158567
  NPD
• Sam Peter Kokoris, MD

  • Diagnostic Radiology Physician
  • Tracy, CA
  • NPI 1578553335
  NPD
• Richard B Rankin, MD

  • Diagnostic Radiology Physician
  • Lodi, CA
  • NPI 1881603017
  NPD
• Grant W Rogero, MD

  • Diagnostic Radiology Physician
  • Lodi, CA
  • NPI 1154330389
  NPD
• Mario P Sattah, MD

  • Diagnostic Radiology Physician
  • Tracy, CA
  • NPI 1063444768
  NPD
• Lee A Shratter, M.D.

  • Diagnostic Radiology Physician
  • Vallejo, CA
  • NPI 1336175173
  NPD
• Linda Jane Tang, MD

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1528000791
  NPD
• Ka-Wah Tung, MD

  • Diagnostic Radiology Physician
  • Stanford, CA
  • NPI 1043448194
  NPD
• Eric Chunchieh Wang, MD

  • Diagnostic Radiology Physician
  • Santa Cruz, CA
  • NPI 1518078120
  NPD

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1427409986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26750",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937296750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 GELLERT BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152611",
            "telephone_number": "415-677-2320",
            "fax_number": "415-677-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE RADIOLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "ENG",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "559-455-4109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lorin Gillin, OTRL
• Charles Kim Gilmartin, CRNA
• Jesus Godoy
• Emma Goldbrener
• Golden Bay Health, Inc.
• Golden Heights Operations LLC
• Golden Pavilion Operations LLC
• Noel D Goldthwaite, MD
• Jacqueline Gomez
• Yael Gonicman

• Diagnostic Radiology Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.