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VACAVILLE IMAGING CENTER MEDICAL NPI 1972557569


NPI Information

NPI: 1972557569
Provider Name: VACAVILLE IMAGING CENTER MEDICAL
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
600 NUT TREE RD
SUITE 100
VACAVILLE, CA
ZIP 95687
Phone: (707) 452-7226
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VACAVILLE IMAGING CENTER MEDICAL is a diagnostic radiology radiology in Vacaville, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. VACAVILLE IMAGING CENTER MEDICAL NPI is 1972557569. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 NUT TREE RD
SUITE 100
VACAVILLE, CA
ZIP 95687-669
Phone: (707) 452-7226
Fax: (707) 452-8422

The provider's authorized official is Howard G. Berger .
The authorized official title is President and has the following contact phone number (310) 445-2800.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 11/17/2015.


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
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
1ZZZ41407ZOTHERCALIFORNIABLUE SHIELD
2GR0051380MEDICAIDCALIFORNIA
3MMM00288MMEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.