Vacaville Imaging Center Medical

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

VACAVILLE IMAGING CENTER MEDICAL

Practice address

600 Nut Tree Rd
Suite 100
Vacaville, CA 95687-4669

Phone

(707) 452-7226

Fax

(707) 452-8422

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Howard G. Berger, MD

Title

President

Phone

(310) 445-2800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1972557569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NUT TREE RD",
            "address_2": "SUITE 100",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874669",
            "telephone_number": "707-452-7226",
            "fax_number": "707-452-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACAVILLE IMAGING CENTER MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-445-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051380",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ41407Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Usha Mantena Dental Corporation
• Vaca Valley Chiropractic David Lamb DC Sean Moffett DC Inc
• Vaca Valley Speech Therapy, PC
• Vacaville Dental Professionals
• Vacaville Healthcare Inc
• Vacaville Music Therapy
• Vacaville Optometric Vision Center Inc.
• Vacaville Police Department
• Vacaville Senior Assisted Living
• Vacaville Solano Services Corporation

• Diagnostic Radiology Physician in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.