MEDICARE: CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2085N0700X	Neuroradiology Physician
2	2085R0204X	Vascular & Interventional Radiology Physician
3	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	169891	OTHER	CA	BLUESHIELD OF CA
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
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	347104	OTHER	CA	ANTHEM BLUE CROSS
18	379577200	OTHER	CA	DEPARTMENT OF LABOR

General Provider Information

NPI Number	:	1881646909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES INC

Provider Business Mailing Address
First Line	:	PO BOX 6102
Second Line	:
City	:	NOVATO
State	:	CA
Zip	:	94948-6102
Country	:	US
Telephone Number	:	415-884-3404
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 VAN NESS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-6919
Country	:	US
Telephone Number	:	415-600-6000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AVANTI AMBEKAR
Credential	:	MD
Telephone Number	:	415-308-4890

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/22/2024

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