Active NPI
Richard C Lewis, RT
- Radiologic Technologist
- Santa Clara, CA
National Provider Identifier
1578863452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- RHF00071304
- Practice address
- 3069 McKinley Dr
Santa Clara, CA 95051-6806 - Phone
- (408) 625-0418
- NPI assigned
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RHF00071304 | CA | Primary |
| Radiologic Technologist | 247100000X | RHF00098645 | CA | |
| Radiologic Technologist | 247100000X | RHF00089936 | CA | |
| Radiologic Technologist | 247100000X | RHF00070286 | CA |
Addresses
Primary practice location
3069 McKinley Dr
Santa Clara, CA 95051-6806
Mailing address
3069 McKinley Dr
Santa Clara, CA 95051-6806
Phone (408) 625-0418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHF00070286 | CA | MD | Radiologic Technologist |
| RHF00071304 | CA | MD | Radiologic Technologist |
| RHF00089936 | CA | MD | Radiologic Technologist |
| RHF00098645 | CA | MD | Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| X-Ray Zone Imaging Services Inc. | Radiologic Technologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mobile Radiology Clinic/Center
- Santa Clara, CA
- NPI 1487943874
Radiologic Technologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1578863452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3069 MCKINLEY DR",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950516806",
"telephone_number": "408-625-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3069 MCKINLEY DR",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950516806",
"telephone_number": "408-625-0418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RICHARD",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "RT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-26",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "RHF00071304",
"primary": true
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "RHF00098645",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "RHF00089936",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "RHF00070286",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.