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PEDIATRIC IMAGING MEDICAL ASSOCIATES NPI 1225084296


NPI Information

NPI: 1225084296
Provider Name: PEDIATRIC IMAGING MEDICAL ASSOCIATES
Classification: Radiology - 2085P0229X
Entity Type: Organization

Specialization: Pediatric Radiology

Address:
747 52ND ST
OAKLAND, CA
ZIP 94609
Phone: (510) 428-3410
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PEDIATRIC IMAGING MEDICAL ASSOCIATES is a pediatric radiology radiology in Oakland, CA. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. PEDIATRIC IMAGING MEDICAL ASSOCIATES NPI is 1225084296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

747 52ND ST
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3410
Fax: (510) 601-3968

The provider's authorized official is Ronald Cohen .
The authorized official title is President and has the following contact phone number (510) 428-3410.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 4/15/2015.


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
12085P0229XRadiologyPediatric 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
1100504919MEDICAIDNEVADA
2ZZZ09080ZOTHERCALIFORNIABLUE SHIELD OF CA
3GR0094540MEDICAIDCALIFORNIA
4ZZZ32558ZMEDICARE PINCALIFORNIA

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: 11/14/2023

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