Active NPI
Health Diagnostics of California LLC
- Radiology Clinic/Center
- San Rafael, CA
National Provider Identifier
1699706648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 040095
- Legal business name
- HEALTH DIAGNOSTICS OF CALIFORNIA LLC
- Practice address
- 4144 Redwood Hwy
Suite B
San Rafael, CA 94903-2646 - Phone
- (415) 479-9907
- Fax
- (415) 479-9908
- NPI assigned
- Jul 6, 2006
- 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
- Howard J. Simon, M.D.
- Title
- President
- Phone
- (480) 264-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 040095 | CA | Primary |
Addresses
Primary practice location
4144 Redwood Hwy
Suite B
San Rafael, CA 94903-2646
Mailing address
PO Box 5651
Orange, CA 92863-5651
Phone (714) 571-5000
Other names 1
- BMC Diagnostics Inc
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2094888 | Health Diagnostics of California LLC | Certificate of waiver | Apr 26, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324339200000",
"number": "1699706648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5651",
"city": "ORANGE",
"state": "CA",
"postal_code": "928635651",
"telephone_number": "714-571-5000",
"fax_number": "714-571-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4144 REDWOOD HWY",
"address_2": "SUITE B",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949032646",
"telephone_number": "415-479-9907",
"fax_number": "415-479-9908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH DIAGNOSTICS OF CALIFORNIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2011-12-20",
"status": "A",
"authorized_official_last_name": "SIMON",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-264-2400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "CA",
"license": "040095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BMC Diagnostics Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.