| California Imaging Institute Medical Group, Inc. | |
|
1867 E Fir Ave Suite 101 Fresno CA 93720-3841 | |
| (559) 325-5800 | |
| (559) 325-5825 |
| Full Name | California Imaging Institute Medical Group, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1867 E Fir Ave, Fresno, California |
| Authorized Official Name and Position | Mariela Resendes (MANAGING PARTNER) |
| Authorized Official Contact | 5593255800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Imaging Institute Medical Group, Inc. 1867 E Fir Ave Suite 104 Fresno CA 93720-3841 Ph: (559) 325-5800 | California Imaging Institute Medical Group, Inc. 1867 E Fir Ave Suite 101 Fresno CA 93720-3841 Ph: (559) 325-5800 |
| NPI Number | 1497764468 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 12/10/2007 |
| Medicare PECOS PAC ID | 1951325299 |
|---|---|
| Medicare Enrollment ID | O20060125000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497764468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | C2807568 (California) | Secondary |
| 261QR0200X | Clinic/center - Radiology | C2807568 (California) | Primary |
| Provider Name | Douglas Mitchell Sides |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144228255 PECOS PAC ID: 1153227111 Enrollment ID: I20031210000433 |
| Provider Name | Edward F Math |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659429603 PECOS PAC ID: 6901793603 Enrollment ID: I20040227000862 |
| Provider Name | Lydia Canavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851342539 PECOS PAC ID: 9032187687 Enrollment ID: I20040921000920 |
| Provider Name | Mariela Resendes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811913833 PECOS PAC ID: 6406744481 Enrollment ID: I20041015000580 |
| Provider Name | Bruce L Ginier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356347298 PECOS PAC ID: 3870484603 Enrollment ID: I20041216000945 |
| Provider Name | Martin A Rindahl |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1174529135 PECOS PAC ID: 6608833157 Enrollment ID: I20041216001106 |
| Provider Name | Hans Hildebrandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194721035 PECOS PAC ID: 2264482819 Enrollment ID: I20050131001092 |
| Provider Name | Pramode R Bhandary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366529026 PECOS PAC ID: 3678510310 Enrollment ID: I20050426000526 |
| Provider Name | Alan M Orme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437215027 PECOS PAC ID: 1951341510 Enrollment ID: I20050503001339 |
| Provider Name | Susan Barrows |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295803302 PECOS PAC ID: 0143118125 Enrollment ID: I20060126000339 |
| Provider Name | Frank S Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568556413 PECOS PAC ID: 4789572751 Enrollment ID: I20060126000411 |
| Provider Name | Te Chung Hsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467531251 PECOS PAC ID: 0446148423 Enrollment ID: I20060126000464 |
| Provider Name | Fred A Lo Galbo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821164864 PECOS PAC ID: 9234027202 Enrollment ID: I20060126000567 |
| Provider Name | Eric Raymond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265598585 PECOS PAC ID: 4385665157 Enrollment ID: I20060126000603 |
| Provider Name | Jeffrey Erik Saavedra |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1558459891 PECOS PAC ID: 4981592961 Enrollment ID: I20060126000639 |
| Provider Name | Frank R Tamura |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932275906 PECOS PAC ID: 9032007018 Enrollment ID: I20060126000686 |
| Provider Name | Phillip H Tran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316951577 PECOS PAC ID: 7719908581 Enrollment ID: I20060126000838 |
| Provider Name | Chandrasekar Venugopal |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972679959 PECOS PAC ID: 5193613172 Enrollment ID: I20060126000870 |
| Provider Name | Judy Champaign |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043304074 PECOS PAC ID: 9335159714 Enrollment ID: I20060428000632 |
| Provider Name | Philippe Vanderschelden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558327106 PECOS PAC ID: 5395634836 Enrollment ID: I20070402000315 |
| Provider Name | Jason D Roberts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508845579 PECOS PAC ID: 9638192933 Enrollment ID: I20070404000149 |
| Provider Name | Elisa M Foster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801905773 PECOS PAC ID: 9537165675 Enrollment ID: I20071102000669 |
| Provider Name | Kurt H Hildebrandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770554271 PECOS PAC ID: 9537249164 Enrollment ID: I20080116000821 |
| Provider Name | Mark Bernard |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1780635508 PECOS PAC ID: 3678535671 Enrollment ID: I20080722000416 |
| Provider Name | Ronald Thant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306016464 PECOS PAC ID: 2062586373 Enrollment ID: I20080805000545 |
| Provider Name | Gabriela Tarau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396894986 PECOS PAC ID: 7517068901 Enrollment ID: I20081013000416 |
| Provider Name | Paul R Speece |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932171733 PECOS PAC ID: 5890694756 Enrollment ID: I20081121000340 |
| Provider Name | Ivan Ramirez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053456806 PECOS PAC ID: 2860585171 Enrollment ID: I20090211000589 |
| Provider Name | Chanh D Nguyen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1992901250 PECOS PAC ID: 8022160704 Enrollment ID: I20090709000619 |
| Provider Name | Kelly Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144201799 PECOS PAC ID: 4688720048 Enrollment ID: I20090926000079 |
| Provider Name | Roberta K Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740308972 PECOS PAC ID: 2961548607 Enrollment ID: I20091009000132 |
| Provider Name | Michael Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891010120 PECOS PAC ID: 7810026218 Enrollment ID: I20100524000370 |
| Provider Name | Marc Draeger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508077355 PECOS PAC ID: 3476747890 Enrollment ID: I20110823000829 |
| Provider Name | William K Carson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053378794 PECOS PAC ID: 0749445930 Enrollment ID: I20131217001345 |
| Provider Name | Obadiah Elkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346402419 PECOS PAC ID: 1355566191 Enrollment ID: I20140710001192 |
| Provider Name | Monique A. Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417186081 PECOS PAC ID: 9335380898 Enrollment ID: I20140723001205 |
| Provider Name | Lucas B Payor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740414382 PECOS PAC ID: 6002050614 Enrollment ID: I20150324000009 |
| Provider Name | Vikram M Shaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841511854 PECOS PAC ID: 8921311127 Enrollment ID: I20150716002607 |
| Provider Name | Nitasha Klar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275709883 PECOS PAC ID: 0840430773 Enrollment ID: I20170303001990 |
| Provider Name | Jason Bailey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265708341 PECOS PAC ID: 9133420342 Enrollment ID: I20170606001110 |
| Provider Name | Kevin Day |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699030577 PECOS PAC ID: 5496023400 Enrollment ID: I20170615002265 |
| Provider Name | Dustin Mathew Covell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942615893 PECOS PAC ID: 3476847583 Enrollment ID: I20190822001803 |
| Provider Name | Kamalpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982021911 PECOS PAC ID: 7517183767 Enrollment ID: I20200626000630 |
| Provider Name | Christopher Czaplicki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699193581 PECOS PAC ID: 4688987043 Enrollment ID: I20200814002697 |
| Provider Name | Neetha Gandikota |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073804621 PECOS PAC ID: 5991001000 Enrollment ID: I20201020003539 |
| Provider Name | Seung Hur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063739027 PECOS PAC ID: 8527335603 Enrollment ID: I20220215000426 |
| Provider Name | Rachael Anna Latshaw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194257063 PECOS PAC ID: 1759650062 Enrollment ID: I20220907001433 |
| Provider Name | Kalind Parashar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548435811 PECOS PAC ID: 9638304959 Enrollment ID: I20230919002981 |
| Provider Name | Michelle C Rubio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427690437 PECOS PAC ID: 3173951720 Enrollment ID: I20240411002443 |
Sante' Foundation Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7370 N Palm Ave Ste 101, Fresno, CA 93711 Phone: 559-228-5400 | |
Sequoia Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Fresno St Ste 102, Fresno, CA 93706 Phone: 559-457-5700 Fax: 559-457-5790 | |
Fresno Healthcare Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 N Chestnut Ave Ste 102, Fresno, CA 93726 Phone: 559-456-1167 Fax: 559-456-1183 | |
Planned Parenthood Mar Monte, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6095 N 1st St, Fresno, CA 93710 Phone: 559-446-1515 Fax: 559-446-1273 | |
Valley Pediatric Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7130 N Sharon Ave Ste 101, Fresno, CA 93720 Phone: 559-436-8606 Fax: 559-436-8654 | |
Dizon Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7035 N Maple Ave Ste 102b, Fresno, CA 93720 Phone: 559-299-2997 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2630 Tuolumne St, Fresno, CA 93721 Phone: 800-492-4227 Fax: 559-646-6614 |