Organization Active NPI

California Pacific Advanced Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • San Francisco, CA
National Provider Identifier
1912950676
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
CALIFORNIA PACIFIC ADVANCED IMAGING
Practice address
2351 Clay St Ste 100
San Francisco, CA 94115-1931
Phone
(415) 600-3143
Fax
(415) 600-3123
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Dr. Avanti Ambekar, MDNPI 1356447627
Title
Board Member
Phone
(153) 084-8904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

2351 Clay St Ste 100
San Francisco, CA 94115-1931

Mailing address

PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-9125

Other identifiers 2

IdentifierTypeStateIssuer
DA2436OtherCARAILROAD MEDICARE
GR000314TMedicaidCA

Other names 1

  • CPAI Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AR, CO, HI5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20050803000687 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0143258764 Practice locations: San Francisco, CA
O20240723001692 CA Part B Supplier - Clinic/Group Practice 0143258764 Receives reassigned benefits from 5 practitioners
Practice locations: Foster City, CA; Los Angeles, CA; Mill Valley, CA; Orange, CA; Redwood City, CA; San Diego, CA
O20240729002426 AR Part B Supplier - Clinic/Group Practice 0143258764 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR
O20240729002663 CO Part B Supplier - Clinic/Group Practice 0143258764 Receives reassigned benefits from 2 practitioners
Practice locations: Avon, CO; Golden, CO
O20240822000257 HI Part B Supplier - Clinic/Group Practice 0143258764 Receives reassigned benefits from 8 practitioners
Practice locations: Kailua-Kona, HI

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3700 California St
Ste G350
San Francisco, CA 94118
Phone (415) 600-2940

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1912950676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 CLAY ST STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151931",
            "telephone_number": "415-600-3143",
            "fax_number": "415-600-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PACIFIC ADVANCED IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "AMBEKAR",
        "authorized_official_first_name": "AVANTI",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "153-084-8904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA2436",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR000314T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPAI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.