Active NPI
Ams Mobile Health Diagnostics
- Vascular Sonography Radiologic Technologist
- San Mateo, CA
National Provider Identifier
1770001992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- Legal business name
- AMS MOBILE HEALTH DIAGNOSTICS
- Practice address
- 1646 Sugarloaf Dr
San Mateo, CA 94403-3946 - Phone
- (415) 756-9700
- Fax
- (888) 807-9131
- NPI assigned
- Sep 8, 2017
- 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
- Dmitry Melnikov
- Title
- President
- Phone
- (415) 756-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist | 2471V0105X | Primary |
Addresses
Primary practice location
1646 Sugarloaf Dr
San Mateo, CA 94403-3946
Mailing address
1646 Sugarloaf Dr
San Mateo, CA 94403-3946
Phone (415) 756-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171023000681 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3274809033 | Practice locations: South San Francisco, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Fremont, CA
- NPI 1386669489
-
- Vascular & Interventional Radiology Physician
- Hayward, CA
- NPI 1386885382
-
- Diagnostic Radiology Physician
- Bonsall, CA
- NPI 1053387928
-
- Cardiovascular Disease Physician
- Phoenix, MD
- NPI 1215915012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674604800000",
"number": "1770001992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1646 SUGARLOAF DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944033946",
"telephone_number": "415-756-9700",
"fax_number": "888-807-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1646 SUGARLOAF DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944033946",
"telephone_number": "415-756-9700",
"fax_number": "888-807-9131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMS MOBILE HEALTH DIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-08",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A",
"authorized_official_last_name": "MELNIKOV",
"authorized_official_first_name": "DMITRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-756-9700"
},
"taxonomies": [
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.