MEDICARE: VALLEY RADIOLOGY MEDICAL ASSOCIATES, 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	261QR0200X	Radiology Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396703179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY RADIOLOGY MEDICAL ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	2281 PARAGON DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95131-1307
Country	:	US
Telephone Number	:	408-961-2649
Fax Number	:	408-244-6596

Provider Business Practice Location Address
First Line	:	2281 PARAGON DR
Second Line	:	SUITE 400
City	:	SAN JOSE
State	:	CA
Zip	:	95131-1307
Country	:	US
Telephone Number	:	408-961-2649
Fax Number	:	408-244-6596

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARIA MATSUMOTO
Credential	:	M.D.
Telephone Number	:	408-244-2100

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	07/08/2016

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Directions to “VALLEY RADIOLOGY MEDICAL ASSOCIATES, INC. ” Practice Location

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