California Advanced Imaging Medical Assoc., Inc.
Organization Active NPI Diagnostic Radiology Physician · Greenbrae, CA
NPI 1689628679 · NPPES record last updated Sep 22, 2020
Key facts
- NPI
- 1689628679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC.
- Practice address
- 1260 S Eliseo Dr Ste 101
Greenbrae, CA 94904-2009 - Phone
- (415) 464-8080
- Fax
- (415) 461-2012
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Kelly Hoye
- Title
- Ceo
- Phone
- (415) 884-3448
Other NPIs on the same Medicare enrollment 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031113000847 | CA | Part B Supplier - Clinic/Group Practice | 0244144228 |
Receives reassigned benefits from 104 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | |||
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
1260 S Eliseo Dr Ste 101
Greenbrae, CA 94904-2009
Mailing address
PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-3418
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0003144 | Medicaid | CA | |
| CI2439 | Other | CA | RAILROAD MEDICARE |
Other names
- National Orthopedic Imaging Associates
Other providers in Greenbrae, CA
- Deirdre Grace Burke
- Mary G Burke
- Jacquelyn Burness
- Amber Lenore Byassee
- Robert H. Byers
- California Cancer Care, Inc.
- California Pacific Orthopaedics & Sports Medicine
- Aida Calvillo
- Anne Davis Campanella
- Alexis April Cardellini
All providers in Greenbrae, CA · Diagnostic Radiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.