Organization Active NPI

Shermin Mobile Imaging, LLC

  • Mobile Radiology Clinic/Center
  • San Jose, CA
National Provider Identifier
1871899799
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
SHERMIN MOBILE IMAGING, LLC
Practice address
1879 Lundy Ave Ste 218
Suite 218
San Jose, CA 95131-1881
Phone
(408) 373-6176
Fax
(408) 684-4531
NPI assigned
Feb 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
L Michael Jones
Title
Shareholder
Phone
(408) 373-6176

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X FAC00069861 CA
Mobile Radiology Clinic/Center 261QR0208X CA Primary

Addresses

Primary practice location

1879 Lundy Ave Ste 218
Suite 218
San Jose, CA 95131-1881

Mailing address

1879 Lundy Ave Ste 218
Suite 218
San Jose, CA 95131-1881
Phone (408) 373-6176

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1871899799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 LUNDY AVE STE 218",
            "address_2": "SUITE 218",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311881",
            "telephone_number": "408-373-6176",
            "fax_number": "408-684-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 LUNDY AVE STE 218",
            "address_2": "SUITE 218",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311881",
            "telephone_number": "408-373-6176",
            "fax_number": "408-684-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMIN MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "408-373-6176"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "FAC00069861",
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.