MEDICARE: ADVANCED IMAGING OF TRACY LLC

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	:	1730595984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED IMAGING OF TRACY LLC

Provider Business Mailing Address
First Line	:	PO BOX 398091
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94139-4016
Country	:	US
Telephone Number	:	209-833-2393
Fax Number	:

Provider Business Practice Location Address
First Line	:	7208 LOTUS AVE
Second Line	:	APT 15
City	:	SAN GABRIEL
State	:	CA
Zip	:	91755-1255
Country	:	US
Telephone Number	:	209-833-2393
Fax Number	:

Authorized Official
Title or Position	:	MD/PRESIDENT
Name	:	RICHARD M. PORZIO
Credential	:
Telephone Number	:	209-833-2393

Provider Enumeration Date	:	07/09/2014
Last Update Date	:	07/09/2014

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1740672039 — JENIFER LARIE CHAVEZ LCSW
Practice Location Address:

1062 SAN PATRICIO DR
MONTEREY PARK, CA
91755-5837

Practice Phone: 310-999-2970
Practice Fax:

1578815072 — MARTHA ROSE LOPEZ DE ARMAS LCSW
Practice Location Address:

153 JUNIPERO SERRA DR UNIT F
SAN GABRIEL, CA
91776-1255

Practice Phone: 323-317-4642
Practice Fax:

1326504481 — KATHLEEN WONG PT, DPT, CFMT
Practice Location Address:

6329 SULTANA AVE
SAN GABRIEL, CA
91775-2031

Practice Phone: 626-233-0445
Practice Fax:

1932070257 — IN PHYSIO, INC
Practice Location Address:

6329 SULTANA AVE
SAN GABRIEL, CA
91775-2031

Practice Phone: 626-233-0445
Practice Fax:

1508065616 — G&A SENIOR CARE
Practice Location Address:

1749 POTRERO GRANDE DR , SUITE#A1
MONTEREY PARK, CA
91755-5859

Practice Phone: 626-280-0200
Practice Fax: 626-280-0205

Directions to “ADVANCED IMAGING OF TRACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.