Individual provider Active NPI

Michael C Kuo, M.D.

  • Radiography Radiologic Technologist
  • Sacramento, CA
National Provider Identifier
1982680716
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
A88690 Issued in CA
Practice address
4860 Y St
#3100
Sacramento, CA 95817-2307
Phone
(916) 734-5195
Fax
(916) 734-6548
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X A88690 CA Primary

Addresses

Primary practice location

4860 Y St
#3100
Sacramento, CA 95817-2307

Mailing address

1849 41St St
Sacramento, CA 95819-4015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081201000203 CA Practitioner - Diagnostic Radiology 4688734262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Davis School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Radiology Medical Associates IncGroup PAC ID 8022911809, 27 clinicians

Practice addresses (Care Compare)

125 Ciro Ave
San Jose, CA 95128-1671
Phone (408) 297-4591

2581 Samaritan Dr
San Jose, CA 95124-4112

340 Dardanelli LN
Suite 11a
Los Gatos, CA 95032-1418
Phone (408) 866-7131

696 W El Camino Real
Sunnyvale, CA 94087-1211
Phone (650) 967-1331

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
85
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A88690CAMDRadiography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Radiology Medical Associates, Inc. CurrentSince Aug 1, 2009 Accepting new patients
Aristamd CurrentSince Apr 1, 2021 Accepting new patients

Locations

340 Dardanelli Ln
Ste 11A
Los Gatos, CA 95032
Phone (408) 248-6912

4755 Nexus Center Dr
San Diego, CA 92121
Phone (858) 750-4777

2581 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 358-6881

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1982680716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 41ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194015",
            "fax_number": "916-734-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "address_2": "#3100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-5195",
            "fax_number": "916-734-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "CA",
            "license": "A88690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.