NPIMap

Organization Active NPI

Reveal Diagnostics, LLC

  • Radiology Clinic/Center
  • Mountain View, CA
National Provider Identifier
1487902821
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
REVEAL DIAGNOSTICS, LLC
Practice address
100 W El Camino Real
Suite 63B
Mountain View, CA 94040-2664
Phone
(415) 837-5990
Fax
(888) 808-6160
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Mr. Aimee Knight
Title
President
Phone
(415) 730-0970

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085B0100X
Dental Clinic/Center 261QD0000X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

100 W El Camino Real
Suite 63B
Mountain View, CA 94040-2664

Mailing address

4217 Piedmont Ave
Suite B
Oakland, CA 94611
Phone (415) 730-0970

Other names 1

  • Reveal Diagnostics Other name

National Provider Directory

National Provider Directory
Tax ID family
Reveal Diagnostics7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

100 W El Camino Real
Ste 63B
Mountain View, CA 94040
Phone (415) 837-5990

4217 Piedmont Ave
Ste B
Oakland, CA 94611
Phone (415) 837-5990

490 Post St
Ste 301
San Francisco, CA 94102
Phone (415) 837-5990

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1487902821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 PIEDMONT AVE",
            "address_2": "SUITE B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "415-730-0970",
            "fax_number": "415-358-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W EL CAMINO REAL",
            "address_2": "SUITE 63B",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402664",
            "telephone_number": "415-837-5990",
            "fax_number": "888-808-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-730-0970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reveal Diagnostics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Reveal Diagnostics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.