Individual provider Active NPI

Amisha Vishal Bodiwala, RT,(R)(M)

  • Mammography Radiologic Technologist
  • San Diego, CA
National Provider Identifier
1922320951
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Radiologic TechnologistTaxonomy code 2471M2300X
License
RHM94300 Issued in CA
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

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
631701NJMDRadiologic Technologist
ARRT 331992NJMDRadiologic Technologist
RHM94300CAMDMammography 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.

Verify at the official NPI Registry.