Individual provider Active NPI

Radhika B. Dave, M.D.

  • Diagnostic Radiology Physician
  • Redwood City, CA
National Provider Identifier
1881836047
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A113244 Issued in CA
Practice address
345 Convention Way Ste 1-D
Redwood City, CA 94063-1444
Phone
(650) 306-3900
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A113244 CA Primary

Addresses

Primary practice location

345 Convention Way Ste 1-D
Redwood City, CA 94063-1444

Mailing address

345 Convention Way Ste 1-D
Redwood City, CA 94063-1444
Phone (650) 306-3900

Other practice location 1

1200 El Camino Real
South San Francisco, CA 94080-3299
Phone (650) 742-2000

Other identifiers 1

IdentifierTypeStateIssuer
2085R0202XMedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150910002739 CA Practitioner - Diagnostic Radiology 3678795978 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

101 S San Mateo Dr
201 Simonmed Imaging San Mateo
San Mateo, CA 94401-3843
Phone (650) 343-1655

1180 Post St
San Francisco, CA 94109-5505
Phone (415) 248-3700

1200 El Camino Real
South San Francisco, CA 94080-3208
Phone (650) 742-2000

1825 Civic Ctr Dr
Suite 1
Santa Clara, CA 95050-7302
Phone (408) 296-5555

21030 Redwood Rd
Suite B
Castro Valley, CA 94546-5920
Phone (510) 856-4800

2128 Pullman Ave
Belmont, CA 94002-1651
Phone (480) 306-6949

325 Sacramento St
San Francisco, CA 94111-3601
Phone (415) 321-4674

345 Convention Way
Simonmed Imaging Redwood City
Redwood City, CA 94063-1444
Phone (650) 306-3900

665 Munras Ave
Suite 109
Monterey, CA 93940-3136
Phone (831) 656-9800

800 Pollard Rd
Suite B101
Los Gatos, CA 95032-1445
Phone (408) 374-8897

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A113244CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Diagnostic Radiology Current Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jun 1, 2015 Accepting new patients
Monterey Spine & Joint PC CurrentSince Apr 29, 2018 Accepting new patients
Monterey Spine & Joint PC CurrentSince Apr 29, 2018 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jul 9, 2024 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 29, 2024 Accepting new patients
Permanente Medical Group Inc Diagnostic Radiology CurrentSince Apr 29, 2024 Accepting new patients
Montage Surgical Group Diagnostic Radiology Past Accepting new patients

Locations (25 of 41)

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

9134 W Olympic Blvd
Beverly Hills, CA 90212
Phone (310) 432-1000

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

155 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 433-7800

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

499 N El Camino Real
Ste C100
Encinitas, CA 92024
Phone (760) 334-4065

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120

24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

105 South Dr
Ste 110
Mountain View, CA 94040
Phone (650) 259-3165

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1690 Barton Rd
Ste 107
Redlands, CA 92373
Phone (909) 307-1941

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

345 Convention Way
Ste 1-D
Redwood City, CA 94063
Phone (650) 299-9906

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

10111 Hole Ave
Riverside, CA 92503
Phone (650) 299-9906

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1881836047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CONVENTION WAY STE 1-D",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631444",
            "telephone_number": "650-306-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CONVENTION WAY STE 1-D",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631444",
            "telephone_number": "650-306-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940803299",
            "country_code": "US",
            "telephone_number": "650-742-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE",
        "first_name": "RADHIKA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A113244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085R0202X",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1200 El Camino Real",
            "city": "South San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940803299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.