NPIMap

Organization Active NPI

Magnetic Imaging Affiliates, LLC

  • Diagnostic Radiology Physician
  • Oakland, CA
National Provider Identifier
1487040770
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MAGNETIC IMAGING AFFILIATES, LLC
Practice address
5730 Telegraph Ave
Oakland, CA 94609-1710
Phone
(510) 204-2744
Fax
(510) 658-1277
NPI assigned
Apr 13, 2015
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
John B. Gates
Title
Cfo
Phone
(415) 600-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

5730 Telegraph Ave
Oakland, CA 94609-1710

Mailing address

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (415) 600-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, NY, NJ, NC, KY, MD, PA, WA, DC, MI, DE, FL, TX, AR, AZ17 enrollments

Enrollment records 17

Enrollment IDStateProvider typePAC IDDetails
O20040110000189 CA Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 167 practitioners
31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20150624002629 CA Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 142 practitioners
O20191107002152 HI Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 43 practitioners
Practice locations: Kaneohe, HI; Honolulu, HI
O20191209001280 NY Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 1 practitioner
Practice locations: Great Neck, NY; Manhasset, NY; Roslyn, NY
O20191218000178 NJ Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 2 practitioners
Practice locations: Ridgewood, NJ; Princeton, NJ; Parsippany, NJ; Morganville, NJ; Matawan, NJ
O20191219002483 NC Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 3 practitioners
Practice locations: Cary, NC; Durham, NC
O20200323002201 KY Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20200511002066 MD Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD; Owings Mills, MD
O20211109001959 PA Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA
O20230505000985 WA Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 1 practitioner
Practice locations: Clyde Hill, WA
O20230606002333 DC Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA
O20230929001401 MI Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 1 practitioner
Practice locations: W Bloomfield, MI
O20231023003201 DE Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, DE
O20240314003024 FL Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood Ranch, FL
O20241127000151 TX Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX; Plano, TX
O20250604004212 AR Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs, AR; Little Rock, AR
O20260128000991 AZ Part B Supplier - Clinic/Group Practice 5496066961 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

Other NPIs on the same Medicare enrollment 21

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

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Bay Imaging Consultants Medical Group Inc8 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

827 N Rengstorff Ave
Mountain View, CA 94043
Phone (408) 889-4762

5730 Telegraph Ave
Ste 200
Oakland, CA 94609

2125 Oak Grove Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 993-9440

1000 Mill Rd
Unit 2229
Ronkonkoma, NY 11779

Practitioners & affiliated clinicians

Practitioners 149

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 149

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1487040770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052067",
            "telephone_number": "415-600-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091710",
            "telephone_number": "510-204-2744",
            "fax_number": "510-658-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNETIC IMAGING AFFILIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-600-7755"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.