Mirage Imaging Professional Corporation

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MIRAGE IMAGING PROFESSIONAL CORPORATION

Practice address

15001 National Avenue
Los Gatos, CA 95032

Phone

(408) 356-7226

Fax

(408) 356-7224

NPI assigned

Mar 22, 2016

Last updated

Feb 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bulland Zaman, MD

Title

President

Phone

(973) 931-6299

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Lieberman, M.D.

  • Diagnostic Radiology Physician
  • Los Gatos, CA
  • NPI 1679679179
  NPD (past)
• Sepideh Moayed, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • San Jose, CA
  • NPI 1295709046

  Magnetic Resonance Imaging (MRI)

  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1902268733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 NATIONAL AVENUE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "973-931-6299",
            "fax_number": "408-356-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 NATIONAL AVENUE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-356-7226",
            "fax_number": "408-356-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAGE IMAGING PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "ZAMAN",
        "authorized_official_first_name": "BULLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-931-6299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Robert Miller, AUD.
• Minal Kapoor MD PC
• Deborah J Minowitz, MFT
• Miracle Acupuncture Professional Corporation
• Mirage Imaging Center for Aetna
• Nili Olech Mirande, MFT
• Carly Mitchell
• George Edward Mitchell, L.AC.
• Ali Moayed, MD
• Modern Orthopedics PC (Modern Orthopedics)

• Magnetic Resonance Imaging (MRI) Clinic/Center in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.