MEDICARE: NORTHERN CALIFORNIA IMAGING ASSOCIATES MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1457397838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN CALIFORNIA IMAGING ASSOCIATES MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	PO BOX 8002
Second Line	:
City	:	SALEM
State	:	NH
Zip	:	03079-8002
Country	:	US
Telephone Number	:	800-927-0002
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 SISTER MARY COLUMBA DR
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-4327
Country	:	US
Telephone Number	:	530-529-8280
Fax Number	:	530-529-8279

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHADWICK MORGAN
Credential	:	M.D.
Telephone Number	:	530-529-7895

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	08/23/2024

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