Breast Imaging Specialists, Inc

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

C51518 Issued in CA

Legal business name

BREAST IMAGING SPECIALISTS, INC

Practice address

15195 National Ave
Suite201
Los Gatos, CA 95032-2631

Phone

(925) 245-0729

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dipa Harish Patel, MDNPI 1295799104

Title

President

Phone

(925) 245-0729

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dipa H. Patel, MD

  • Diagnostic Radiology Physician
  • Los Gatos, CA
  • NPI 1295799104
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1811267784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15195 NATIONAL AVE",
            "address_2": "SUITE201",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322631",
            "telephone_number": "925-245-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 NATIONAL AVE",
            "address_2": "SUITE201",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322631",
            "telephone_number": "925-245-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST IMAGING SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIPA",
        "authorized_official_middle_name": "HARISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-245-0729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "CA",
            "license": "C51518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Brandman, M.D.
• Adam Brando, MA, BCBA
• Laura Elizabeth Brash, LMFT
• Sheri Lurlene Braudrick-Dogins, SCHOOL PSYCHOLOGIST
• Beatriz Bravo Kusanovic, DPT
• Anita Breckenridge, MD
• Jon Brennan, DPT
• Kelly Rose Brennan, AU.D.
• Matthew J Breske, D.C.
• Jordan Janine Britt

• Mammography Clinic/Center in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Mammography Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.

Verify at the official NPI Registry.