NPI Code Detail JSON Logo

1639126725 NPI number — EL CAMINO RADIOLOGISTS MEDICAL GROUP

NPI Number: 1639126725
Health Care Provider/Practitioner: EL CAMINO RADIOLOGISTS MEDICAL GROUP

Information about “1639126725” NPI (EL CAMINO RADIOLOGISTS MEDICAL GROUP) exists in 1639126725 in HTML format HTML  |  1639126725 in plain Text format TXT  |  1639126725 in PDF (Portable Document Format) PDF  |  1639126725 in an XML format XML  formats.

NPI Number : 1639126725 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639126725",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EL CAMINO RADIOLOGISTS MEDICAL GROUP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 6102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NOVATO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94948-6102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "415-884-3404",
    "MailingAddressFaxNumber": "415-883-1836",
    "FirstLinePracticeLocationAddress": "2500 GRANT RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNTAIN VIEW",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94040-4302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "650-940-7044",
    "PracticeLocationAddressFaxNumber": "650-940-7134",
    "EnumerationDate": "05/27/2006",
    "LastUpdateDate": "02/25/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VANDALSEM",
    "AuthorizedOfficialFirstName": "VOLNEY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": "III",
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "650-940-7044",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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