Liberty Pacific Medical Imaging of San Francisco, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LIBERTY PACIFIC MEDICAL IMAGING OF SAN FRANCISCO, LLC

Doing business as

San Francisco Advanced Medical Imaging

Practice address

325 Sacramento St
San Francisco, CA 94111-3601

Phone

(415) 321-4674

Fax

(415) 321-4677

NPI assigned

May 4, 2006

Last updated

Aug 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renee (None) Kavon

Title

V.P. Marketing & Contracting

Phone

(530) 367-5295

Specialties & licenses 1

Addresses

Other names 1

• San Francisco Advanced Medical Imaging Doing business as

Locations

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1548218332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1279",
            "city": "FORESTHILL",
            "state": "CA",
            "postal_code": "956311279",
            "telephone_number": "530-367-5295",
            "fax_number": "530-367-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SACRAMENTO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113601",
            "telephone_number": "415-321-4674",
            "fax_number": "415-321-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PACIFIC MEDICAL IMAGING OF SAN FRANCISCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "KAVON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "(NONE)",
        "authorized_official_title_or_position": "V.P. MARKETING & CONTRACTING",
        "authorized_official_telephone_number": "530-367-5295"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Francisco Advanced Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Brooke Libby
• Kathryn Liberio
• Arielle G Liberman, D.M.D.
• Caleb Samuel Liberman
• Martin S Liberman, MD
• Brenda Liborio
• Roman Libov
• Yelena Libova
• Veronica Danielle Libre
• Kristine Libunao, B.A.

• Diagnostic Radiology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.