NPIMap

Organization Active NPI

Sutter Buttes Imaging Medical Group, Inc.

  • Radiology Clinic/Center
  • Yuba City, CA
National Provider Identifier
1487632055
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SUTTER BUTTES IMAGING MEDICAL GROUP, INC.
Practice address
945 Shasta St
Yuba City, CA 95991-4114
Phone
(530) 671-8564
Fax
(530) 671-8592
NPI assigned
Jan 4, 2006
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Art Healy
Title
Practice Administrator
Phone
(530) 671-8564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X CA Primary

Addresses

Primary practice location

945 Shasta St
Yuba City, CA 95991-4114

Mailing address

945 Shasta St
Yuba City, CA 95991-4114
Phone (530) 671-8564

Other identifiers 4

IdentifierTypeStateIssuer
ZZZ72933ZOtherMEDIARE ID
ZZZ72907ZOtherMEDICARE ID
ZZZ72907ZMedicaidCA
ZZZ72933ZMedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1487632055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SHASTA ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914114",
            "telephone_number": "530-671-8564",
            "fax_number": "530-671-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SHASTA ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914114",
            "telephone_number": "530-671-8564",
            "fax_number": "530-671-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER BUTTES IMAGING MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "530-671-8564"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE ID",
            "identifier": "ZZZ72933Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ72907Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ72907Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ72933Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.