Pet Imaging of San Jose, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

6846-43 Issued in CA

Legal business name

PET IMAGING OF SAN JOSE, LLC

Practice address

2211 Moorpark Ave.
Suite 220
San Jose, CA 95128-2632

Phone

(408) 297-8844

Fax

(408) 297-8220

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bijan Farhangui

Title

Ceo/President

Phone

(408) 297-8844

Specialties & licenses 1

Addresses

Tax ID family

Pet Imaging of San Jose2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pet Imaging of San Jose, LLC

  • Preferred Provider Organization
  • San Jose, CA
  • NPI 1477693513
  NPD tax ID

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629187695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE.",
            "address_2": "SUITE 220",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282632",
            "telephone_number": "408-297-8844",
            "fax_number": "408-297-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE.",
            "address_2": "SUITE 220",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282632",
            "telephone_number": "408-297-8844",
            "fax_number": "408-297-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PET IMAGING OF SAN JOSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARHANGUI",
        "authorized_official_first_name": "BIJAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "408-297-8844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "6846-43",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saloni Peshkar-Kulkarni, MD
• Diana Pesqueira, APCC
• Doris Pesqueira
• Carlos Pestana Jr.
• Pet Imaging of San Jose, LLC
• Florina M Petcu, MFTI
• Peter D.Nguyen, DDS, Professional Dental Corp
• Peter J. Rutti, M.D. Inc.
• Emily Johannah Peters-Limbeck, NP
• William A. Peters, MD

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.