Fusion Diagnostic Group LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

FUSION DIAGNOSTIC GROUP LLC

Practice address

1700 California Street
Suite 260
San Francisco, CA 94109

Phone

(415) 921-7226

Fax

(415) 921-7225

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Nick V Dimartino

Title

Evp Cfo of Member

Phone

(206) 272-3580

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1629033030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94592",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246892",
            "telephone_number": "800-362-9772",
            "fax_number": "206-272-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA STREET",
            "address_2": "SUITE 260",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-921-7226",
            "fax_number": "415-921-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION DIAGNOSTIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "DIMARTINO",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EVP CFO OF MEMBER",
        "authorized_official_telephone_number": "206-272-3580"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IDTF00290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470001751",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Furnas
• Carolyn Furno, RN
• Jessica Furrey
• Michael Edward Furtch Sr.
• Carol Fusco, L.AC
• Julie Fustini, PHARM.D.
• Viktoria Futritski, NURSE PRACTITIONER
• Kuo Chao Fwangure
• Alastair Colin Fyfe
• Amalia D Fyles, CNS

• Radiology Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.