Individual provider Active NPI

Eric Robert Holmgren, RT(R)(CT)(ARRT)

  • Radiography Radiologic Technologist
  • San Francisco, CA
National Provider Identifier
1861016883
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
RHF00104635 Issued in CA
Practice address
601 Duboce Ave
North Tower, Level a
San Francisco, CA 94114
Phone
(415) 600-6180
NPI assigned
Jun 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X RHF00104635 CA Primary

Addresses

Primary practice location

601 Duboce Ave
North Tower, Level a
San Francisco, CA 94114

Mailing address

601 Duboce Ave
North Tower, Level a
San Francisco, CA 94114
Phone (415) 600-6180

Other practice location 1

45 Castro
North Tower Level A
San Francisco, CA 94114
Phone (415) 600-6180 ext. 8

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RHF00104635CAMDRadiography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1861016883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DUBOCE AVE",
            "address_2": "NORTH TOWER, LEVEL A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94114",
            "telephone_number": "415-600-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DUBOCE AVE",
            "address_2": "NORTH TOWER, LEVEL A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94114",
            "telephone_number": "415-600-6180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Castro",
            "address_2": "North Tower Level A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94114",
            "country_code": "US",
            "telephone_number": "415-600-6180 x8",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMGREN",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "credential": "RT(R)(CT)(ARRT)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "CA",
            "license": "RHF00104635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.