Active NPI
California Advanced Imaging Medical Assoc., Inc.
Doing business as National Orthopedic Imaging Associates
- Diagnostic Radiology Physician
- Greenbrae, CA
National Provider Identifier
1689628679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC.
- Doing business as
- National Orthopedic Imaging Associates
- 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
- Last updated
- Sep 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Kelly Hoye
- Title
- Ceo
- Phone
- (415) 884-3448
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| 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 names 1
- National Orthopedic Imaging Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| 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 |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1881646909
O20031113000847
National Provider Directory
National Provider DirectoryLocations
7250 Redwood Blvd
Ste 113
Novato, CA 94945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600732800000",
"number": "1689628679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6102",
"city": "NOVATO",
"state": "CA",
"postal_code": "949486102",
"telephone_number": "415-884-3418",
"fax_number": "415-883-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 S ELISEO DR STE 101",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042009",
"telephone_number": "415-464-8080",
"fax_number": "415-461-2012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA ADVANCED IMAGING MEDICAL ASSOC., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A",
"authorized_official_last_name": "HOYE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "KELLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-884-3448"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "National Orthopedic Imaging Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.