Organization Active NPI

Medical Center Magnetic Imaging, LLC

  • Diagnostic Radiology Physician
  • Oakland, CA
National Provider Identifier
1992844088
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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 HOSPITALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
FG666AOtherMEDICARE PTAN - PETCT AND CT
P00118317OtherCARAILROAD MEDICARE
ZZZ27496ZOtherMEDICARE 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.

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.

Verify at the official NPI Registry.