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RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC. NPI 1265857759


NPI Information

NPI: 1265857759
Provider Name: RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC.

Doing Business As: AGILE RADIOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
911 SUNSET DR
HOLLISTER, CA
ZIP 95023
Phone: (831) 637-5711
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RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC. is a diagnostic radiology radiology in Hollister, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC. NPI is 1265857759. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Agile Radiology.

The provider's business location address is:

911 SUNSET DR
HOLLISTER, CA
ZIP 95023-606
Phone: (831) 637-5711

The provider's authorized official is Roy E Martinez .
The authorized official title is President and has the following contact phone number (831) 476-1542.

The enumeration date for this NPI number is 2/20/2014 and was last updated on 6/4/2014.


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
1ZZZ81760YOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
2ZZZ73806ZMEDICARE 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: 4/28/2024

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