NPIMap

Organization Active NPI

Open Advantage MRI VI, Inc

  • Magnetic Resonance Imaging Radiologic Technologist
  • Sacramento, CA
National Provider Identifier
1962427641
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
OPEN ADVANTAGE MRI VI, INC
Practice address
800 Howe Ave
Suite 230
Sacramento, CA 95825-3911
Phone
(916) 929-2178
Fax
(916) 929-6078
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Authorized official

Name
Ms. Crystal Olivas
Title
Contracts Coordinator
Phone
(714) 265-7027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X Primary

Addresses

Primary practice location

800 Howe Ave
Suite 230
Sacramento, CA 95825-3911

Mailing address

600 N Tustin Ave
#100
Santa Ana, CA 92705-3736
Phone (916) 929-2178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120326000755 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1658468921 Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

800 Howe Ave
Ste 230
Sacramento, CA 95825
Phone (916) 929-2178

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1962427641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N TUSTIN AVE",
            "address_2": "#100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053736",
            "telephone_number": "916-929-2178",
            "fax_number": "916-929-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOWE AVE",
            "address_2": "SUITE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253911",
            "telephone_number": "916-929-2178",
            "fax_number": "916-929-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ADVANTAGE MRI VI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "OLIVAS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CONTRACTS COORDINATOR",
        "authorized_official_telephone_number": "714-265-7027",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.