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EL CAMINO RADIOLOGISTS MEDICAL GROUP NPI 1639126725


NPI Information

NPI: 1639126725
Provider Name: EL CAMINO RADIOLOGISTS MEDICAL GROUP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2500 GRANT RD
MOUNTAIN VIEW, CA
ZIP 94040
Phone: (650) 940-7044
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EL CAMINO RADIOLOGISTS MEDICAL GROUP is a diagnostic radiology radiology in Mountain View, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EL CAMINO RADIOLOGISTS MEDICAL GROUP NPI is 1639126725. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 GRANT RD
MOUNTAIN VIEW, CA
ZIP 94040-302
Phone: (650) 940-7044
Fax: (650) 940-7134

The provider's authorized official is Volney Vandalsem .
The authorized official title is President and has the following contact phone number (650) 940-7044.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 2/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CI9619OTHERRAILROAD MEDICARE PIN
2ZZZ91843ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3GR0010800MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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