VALLEY RADIOLOGICAL ASSOCIATES MEDICAL GROUP INC. NPI 1104881747

NPI Information

NPI: 1104881747
Provider Name: VALLEY RADIOLOGICAL ASSOCIATES MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
10 WOODLAND RD
SAINT HELENA, CA
ZIP 94574
Phone: (707) 963-6570
Get Directions

VALLEY RADIOLOGICAL ASSOCIATES MEDICAL GROUP, INC. is a diagnostic radiology radiology in Saint Helena, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. VALLEY RADIOLOGICAL ASSOCIATES MEDICAL GROUP, INC. NPI is 1104881747. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 WOODLAND RD
SAINT HELENA, CA
ZIP 94574-554
Phone: (707) 963-6570
Fax: (707) 967-5623

The provider's authorized official is David R Racker .
The authorized official title is President and has the following contact phone number (707) 261-7880.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 9/9/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0005530	MEDICAID	CALIFORNIA
2	ZZZ23296Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP PROVIDER NUMBER
3	ZZZ98653Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP PROVIDER NUMBER
4	ZZZ98653Z	MEDICARE PIN	CALIFORNIA
5	ZZZ86571Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP PROVIDER NUMBER
6	GR0005532	MEDICAID	CALIFORNIA
7	ZZZ86571Z	MEDICARE PIN	CALIFORNIA
8	GR0005534	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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