Pacific Network Imaging, Inc.

Primary specialty

Nuclear Cardiology PhysicianTaxonomy code 207UN0901X

Legal business name

PACIFIC NETWORK IMAGING, INC.

Practice address

101 S San Mateo Dr
Suite 303
San Mateo, CA 94401-3819

Phone

(650) 217-8575

Fax

(650) 375-8398

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas A. Watters, M.D.

Title

President

Phone

(650) 218-5758

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1982653598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "SUITE 303",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013819",
            "telephone_number": "650-217-8575",
            "fax_number": "650-375-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "SUITE 303",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013819",
            "telephone_number": "650-217-8575",
            "fax_number": "650-375-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NETWORK IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-218-5758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nuclear Cardiology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Nuclear Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.