Active NPI
Sfrmi, PC - Raytel Medical Imaging
- Radiology Clinic/Center
- San Francisco, CA
National Provider Identifier
1568411122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 349949
- Legal business name
- SFRMI, PC - RAYTEL MEDICAL IMAGING
- Practice address
- 3440 California St
San Francisco, CA 94118-1837 - Phone
- (415) 922-6767
- Fax
- (415) 563-0468
- NPI assigned
- May 9, 2006
- Last updated
- Aug 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey M Flanegin
- Title
- President
- Phone
- (610) 831-1112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 349949 | CA | Primary |
Addresses
Primary practice location
3440 California St
San Francisco, CA 94118-1837
Mailing address
7 Waterside Xing
3Rd Floor Attn: Karen Frisk, Contracting
Windsor, CT 06095-1540
Phone (800) 367-1095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0089800 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Sfrmi PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiology Clinic/Center
- Windsor, CT
- NPI 1871798355
Locations
3440 California St
San Francisco, CA 94118
Phone (415) 922-6767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188518400000",
"number": "1568411122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WATERSIDE XING",
"address_2": "3RD FLOOR ATTN: KAREN FRISK, CONTRACTING",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060951540",
"telephone_number": "800-367-1095",
"fax_number": "860-298-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 CALIFORNIA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181837",
"telephone_number": "415-922-6767",
"fax_number": "415-563-0468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SFRMI, PC - RAYTEL MEDICAL IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2007-08-31",
"status": "A",
"authorized_official_last_name": "FLANEGIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-831-1112",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "CA",
"license": "349949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0089800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.