NPIMap

Organization Active NPI

Solano Diagnostics Imaging Medical Group

  • Diagnostic Radiology Physician
  • Fairfield, CA
National Provider Identifier
1689090391
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SOLANO DIAGNOSTICS IMAGING MEDICAL GROUP
Practice address
4500 Business Center Drive
Fairfield, CA 94534
Phone
(855) 820-5256
NPI assigned
Mar 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Elnora Cameron
Title
President
Phone
(707) 646-3288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

4500 Business Center Drive
Fairfield, CA 94534

Mailing address

1177 Elmsford CT
Cupertino, CA 95014-4907
Phone (404) 899-2371

National Provider Directory

National Provider Directory
Tax ID family
Solano Dia Prtnrs Ca LP12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1689090391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 ELMSFORD CT",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144907",
            "telephone_number": "404-899-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BUSINESS CENTER DRIVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94534",
            "telephone_number": "855-820-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANO DIAGNOSTICS IMAGING MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "ELNORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-646-3288"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.