Active NPI
Amisha Vishal Bodiwala, RT,(R)(M)
- Mammography Radiologic Technologist
- San Diego, CA
National Provider Identifier
1922320951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Radiologic Technologist
- License
- RHM94300
- Practice address
- 11075 Camino Playa Carmel
San Diego, CA 92124-4142 - Phone
- (908) 307-7218
- NPI assigned
- Feb 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 631701 | NJ | |
| Radiologic Technologist | 247100000X | ARRT 331992 | NJ | |
| Radiography Radiologic Technologist | 2471C3402X | RHM94300 | CA | |
| Mammography Radiologic Technologist | 2471M2300X | RHM94300 | CA | Primary |
Addresses
Primary practice location
11075 Camino Playa Carmel
San Diego, CA 92124-4142
Mailing address
11075 Camino Playa Carmel
San Diego, CA 92124-4142
Phone (908) 307-7218
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
| License | State | Type | Specialty |
|---|---|---|---|
| 631701 | NJ | MD | Radiologic Technologist |
| ARRT 331992 | NJ | MD | Radiologic Technologist |
| RHM94300 | CA | MD | Mammography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1922320951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11075 CAMINO PLAYA CARMEL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921244142",
"telephone_number": "908-307-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11075 CAMINO PLAYA CARMEL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921244142",
"telephone_number": "908-307-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODIWALA",
"first_name": "AMISHA",
"middle_name": "VISHAL",
"credential": "RT,(R)(M)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "NJ",
"license": "631701",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "NJ",
"license": "ARRT 331992",
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "CA",
"license": "RHM94300",
"primary": false
},
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": "CA",
"license": "RHM94300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.