Organization Active NPI

Comprehensive Interventional Care Centers, PC

  • Vascular & Interventional Radiology Physician
  • Roseville, CA
National Provider Identifier
1427745421
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PC
Practice address
1386 Lead Hill Blvd
Roseville, CA 95661-2936
Phone
(916) 234-8864
NPI assigned
Apr 19, 2023
Organization subpart
Yes
Parent organization
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Joel Rainwater, MD
Title
Owner/Ceo
Phone
(480) 219-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

1386 Lead Hill Blvd
Roseville, CA 95661-2936

Mailing address

8475 E Hartford Dr Ste 201
Scottsdale, AZ 85255-5477

Other practice location 1

1111 Exposition Blvd
Sacramento, CA 95815-4314
Phone (916) 234-8864

National Provider Directory

National Provider Directory
Part of
Comp Int Care CTRS PLLC

Locations

1386 Lead Hill Blvd
Ste 160
Roseville, CA 95661
Phone (916) 234-8864

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1427745421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8475 E HARTFORD DR STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 LEAD HILL BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612936",
            "telephone_number": "916-234-8864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Exposition Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154314",
            "country_code": "US",
            "telephone_number": "916-234-8864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "RAINWATER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "480-219-0123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.