SOLANO IMAGING MEDICAL ASSOCIATES NPI 1578529756

NPI Information

NPI: 1578529756
Provider Name: SOLANO IMAGING MEDICAL ASSOCIATES
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1200 B GALE WILSON BLVD
FAIRFIELD, CA
ZIP 94533
Phone: (707) 646-5100
Get Directions

SOLANO IMAGING MEDICAL ASSOCIATES is a diagnostic radiology radiology in Fairfield, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOLANO IMAGING MEDICAL ASSOCIATES NPI is 1578529756. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 B GALE WILSON BLVD
FAIRFIELD, CA
ZIP 94533-552
Phone: (707) 646-5100
Fax: (707) 429-7997

The provider's authorized official is James B Bronk .
The authorized official title is Managing Partner and has the following contact phone number (707) 261-7880.

The enumeration date for this NPI number is 4/25/2006 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	GR0046115	MEDICAID	CALIFORNIA
2	GR0046111	MEDICAID	CALIFORNIA
3	ZZZ33720Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP PROVIDER NUMBER
4	GR0046110	MEDICAID	CALIFORNIA
5	ZZZ33719Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP PROVIDER NUMBER
6	MMM00370M	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP PROVIDER NUMBER
7	ZZZ81435Z	MEDICARE PIN	CALIFORNIA
8	GR0046112	MEDICAID	CALIFORNIA
9	ZZZ81435Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP PROVIDER NUMBER

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

NPI Synchronization or Removal

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