NPIMap

Organization Active NPI

Reveal Diagnostics, LLC

  • Radiology Clinic/Center
  • San Francisco, CA
National Provider Identifier
1598013930
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
490 Post St
Suite 301
San Francisco, CA 94102-1401
Phone
(415) 837-5990
Fax
(415) 358-9633
NPI assigned
Aug 15, 2012
Last updated
Nov 5, 2025By the provider in NPPES
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
Aimee Knight
Title
President
Phone
(415) 837-5990

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Radiology Clinic/Center 261QR0200X NU Primary
Body Imaging Physician 2085B0100X NU

Addresses

Primary practice location

490 Post St
Suite 301
San Francisco, CA 94102-1401

Mailing address

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

Other names 1

  • Reveal Diagnostics Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220613001198 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6901284470 Practice locations: San Francisco, CA

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

4217B Piedmont Ave
CA 94611

4217B Piedmont Ave
Oakland, CA 94611

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1598013930",
    "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": "415-837-5990",
            "fax_number": "888-808-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST",
            "address_2": "SUITE 301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021401",
            "telephone_number": "415-837-5990",
            "fax_number": "415-358-9633"
        }
    ],
    "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": "415-837-5990"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 San Francisco, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.