NPIMap

Organization Active NPI

I V Radiology Medical Group

  • Diagnostic Radiology Physician
  • Chico, CA
National Provider Identifier
1427523950
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
I V RADIOLOGY MEDICAL GROUP
Practice address
3224 Freshwater CRK
Chico, CA 95973-2120
Phone
(858) 456-3800
NPI assigned
Oct 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Linda Lee Dennis
Title
Credentialing Specialist
Phone
(805) 375-8804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3224 Freshwater CRK
Chico, CA 95973-2120

Mailing address

1525 Rancho Conejo Blvd Ste 201
Thousand Oaks, CA 91320-1448
Phone (805) 375-8804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000493 CA Part B Supplier - Clinic/Group Practice 7517952310 Receives reassigned benefits from 45 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Truckee, CA; San Luis Obispo, CA; San Francisco, CA; San Diego, CA; Sacramento, CA; Roseville, CA; Playa Vista, CA; Mission Viejo, CA…

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Tax ID family
I V Radiology Medical Group8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1427523950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 RANCHO CONEJO BLVD STE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913201448",
            "telephone_number": "805-375-8804",
            "fax_number": "770-237-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 FRESHWATER CRK",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959732120",
            "telephone_number": "858-456-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I V RADIOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "805-375-8804"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.