NPIMap

Organization Active NPI

Humboldt Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Garberville, CA
National Provider Identifier
1841342128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
HUMBOLDT RADIOLOGY MEDICAL GROUP INC
Practice address
733 Cedar St
Garberville, CA 95542-3201
Phone
(707) 923-3921
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nancy Louise Cobine
Title
Billing Manager
Phone
(707) 445-5431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

733 Cedar St
Garberville, CA 95542-3201

Mailing address

PO Box 6428
Eureka, CA 95502-6428
Phone (707) 445-5431

National Provider Directory

National Provider Directory
Tax ID family
Humboldt Radiology Me D8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841342128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6428",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955026428",
            "telephone_number": "707-445-5431",
            "fax_number": "707-445-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 CEDAR ST",
            "city": "GARBERVILLE",
            "state": "CA",
            "postal_code": "955423201",
            "telephone_number": "707-923-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT RADIOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBINE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "707-445-5431",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garberville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.