RANDY KENT KNUTZON MD NPI 1730185620

NPI Information

NPI: 1730185620
Provider Name: RANDY KENT KNUTZON, MD
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Address:
1640 E ROSEVILLE PKWY
STE 100
ROSEVILLE, CA
ZIP 95661
Phone: (916) 784-2277
Get Directions

Randy Kent Knutzon, MD is a neuroradiology radiology in Roseville, CA. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Randy Kent Knutzon, MD NPI is 1730185620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1640 E ROSEVILLE PKWY
STE 100
ROSEVILLE, CA
ZIP 95661-988
Phone: (916) 784-2277
Fax: (916) 932-1104

The enumeration date for this NPI number is 6/24/2005 and was last updated on 6/8/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	A46090	CALIFORNIA	No
2	2085N0904X	Radiology	Nuclear Radiology	A46090	CALIFORNIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	A46090	CALIFORNIA	No
4	2085R0203X	Radiology	Therapeutic Radiology	A46090	CALIFORNIA	No
5	2085R0204X	Radiology	Vascular & Interventional Radiology	A46090	CALIFORNIA	No
6	2085R0205X	Radiology	Radiological Physics	A46090	CALIFORNIA	No
7	2085U0001X	Radiology	Diagnostic Ultrasound	A46090	CALIFORNIA	No
8	2085N0700X	Radiology	Neuroradiology	A46090	CALIFORNIA	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	00A460900	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	F33718	MEDICARE UPIN

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

NPI Synchronization or Removal

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