Active NPI
Medical Center Magnetic Imaging, LLC
- Diagnostic Radiology Physician
- Oakland, CA
National Provider Identifier
1992844088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MEDICAL CENTER MAGNETIC IMAGING, LLC
- Practice address
- 3000 Telegraph Ave
Oakland, CA 94609-3218 - Phone
- (510) 869-8777
- Fax
- (510) 893-0332
- NPI assigned
- Feb 5, 2007
- Organization subpart
- Yes
- Parent organization
- SUTTER EAST BAY HOSPITALS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron Adams
- Title
- Cfo
- Phone
- (510) 869-6825
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3000 Telegraph Ave
Oakland, CA 94609-3218
Mailing address
3000 Telegraph Ave
Oakland, CA 94609-3218
Phone (510) 869-8777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FG666A | Other | MEDICARE PTAN - PETCT AND CT | |
| P00118317 | Other | CA | RAILROAD MEDICARE |
| ZZZ27496Z | Other | MEDICARE PTAN - MRI |
National Provider Directory
National Provider Directory- Part of
- Pathology Institute
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Oakland, CA
- NPI 1518950658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322524800000",
"number": "1992844088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093218",
"telephone_number": "510-869-8777",
"fax_number": "510-893-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093218",
"telephone_number": "510-869-8777",
"fax_number": "510-893-0332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CENTER MAGNETIC IMAGING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUTTER EAST BAY HOSPITALS",
"enumeration_date": "2007-02-05",
"last_updated": "2011-11-29",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "510-869-6825"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN - PETCT AND CT",
"identifier": "FG666A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00118317",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN - MRI",
"identifier": "ZZZ27496Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.