Individual provider Active NPI

Jimmy Cardoza, M.D.

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1508893710
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G55193 Issued in CA
Practice address
2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520
Phone
(925) 296-7150
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G55193 CA Primary

Addresses

Primary practice location

2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520

Mailing address

2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520
Phone (925) 296-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070307000345 CA Practitioner - Diagnostic Radiology 1254434590 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G55193CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2008 Accepting new patients
Pet-CT Imaging of Berkeley, LLC Diagnostic Radiology CurrentSince Nov 22, 2011 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Jul 17, 2015 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
Neuroscan Diagnostic Radiology Past Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
John Muir Health Past Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology PastSince Mar 7, 1991 Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2001 Dwight Way
Ste A
Berkeley, CA 94704
Phone (210) 204-4460

2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880

2400 Balfour Rd
Brentwood, CA 94513
Phone (925) 308-8100

20103 Lake Chabot Rd
Ste 103
Castro Valley, CA 94546
Phone (510) 899-5052

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 646-4777

27212 Calaroga Ave
Hayward, CA 94545
Phone (510) 783-5532

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

3000 Telegraph Ave
Oakland, CA 94609
Phone (510) 869-8777

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107

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

1656 N California Blvd
Ste 250
Walnut Creek, CA 94596
Phone (925) 947-3242

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2405 Shadelands Dr
Ste 110
Walnut Creek, CA 94598
Phone (925) 210-8600

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1508893710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982520",
            "telephone_number": "925-296-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982520",
            "telephone_number": "925-296-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOZA",
        "first_name": "JIMMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G55193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.