Active NPI
Amador Valley Dental X-Ray Inc.
Doing business as C&G Dental X-Ray
- Radiography Radiologic Technologist
- Pleasanton, CA
National Provider Identifier
1447511464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- RHP00041624
- Legal business name
- AMADOR VALLEY DENTAL X-RAY INC.
- Doing business as
- C&G Dental X-Ray
- Practice address
- 1475 Cedarwood LN Ste D
Pleasanton, CA 94566-6128 - Phone
- (925) 846-9291
- Fax
- (925) 846-9260
- NPI assigned
- Jun 6, 2012
- Last updated
- Jun 6, 2012
- 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
- Nancy Furtado
- Title
- Vice Pres.
- Phone
- (925) 846-9291
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RHP00041624 | CA | |
| Computed Tomography Radiologic Technologist | 2471C3401X | RHP00041624 | CA | |
| Radiography Radiologic Technologist | 2471C3402X | RHP00041624 | CA | Primary |
Addresses
Primary practice location
1475 Cedarwood LN Ste D
Pleasanton, CA 94566-6128
Mailing address
1475 Cedarwood LN Ste D
Pleasanton, CA 94566-6128
Phone (925) 846-9291
Other names 1
- C&G DENTAL X-RAY
National Provider Directory
National Provider DirectoryLocations
1475 Cedarwood Ln
Ste D
Pleasanton, CA 94566
Phone (925) 846-9291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338940800000",
"number": "1447511464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 CEDARWOOD LN STE D",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666128",
"telephone_number": "925-846-9291",
"fax_number": "925-846-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 CEDARWOOD LN STE D",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666128",
"telephone_number": "925-846-9291",
"fax_number": "925-846-9260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMADOR VALLEY DENTAL X-RAY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-06",
"status": "A",
"authorized_official_last_name": "FURTADO",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "VICE PRES.",
"authorized_official_telephone_number": "925-846-9291"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "RHP00041624",
"primary": false
},
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "CA",
"license": "RHP00041624",
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "CA",
"license": "RHP00041624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "C&G DENTAL X-RAY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.