Healthcare Provider Details

I. General information

NPI: 1750213575
Provider Name (Legal Business Name): ULTRAVISION IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2175 RED SETTER RD
ROCKLIN CA
95765-5456
US

IV. Provider business mailing address

2175 RED SETTER RD
ROCKLIN CA
95765-5456
US

V. Phone/Fax

Practice location:
  • Phone: 916-751-1944
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: NATALIE MOSKALETS
Title or Position: MANAGING MEMBER
Credential: RDMS
Phone: 916-390-0793