FUSION DIAGNOSTIC GROUP LLC NPI 1629033030

NPI Information

NPI: 1629033030
Provider Name: FUSION DIAGNOSTIC GROUP LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1700 CALIFORNIA STREET
SUITE 260
SAN FRANCISCO, CA
ZIP 94109
Phone: (415) 921-7226
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FUSION DIAGNOSTIC GROUP LLC is a radiology clinic center in San Francisco, CA. FUSION DIAGNOSTIC GROUP LLC NPI is 1629033030. The provider is registered as an organization entity type.

The provider's business location address is:

1700 CALIFORNIA STREET
SUITE 260
SAN FRANCISCO, CA
ZIP 94109
Phone: (415) 921-7226
Fax: (415) 921-7225

The provider's authorized official is Nick V Dimartino .
The authorized official title is Evp Cfo Of Member and has the following contact phone number (206) 272-3580.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 10/20/2008.

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	261QR0200X	Clinic/Center	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	470001751	OTHER		RAILROAD MEDICARE
2	IDTF00290	MEDICAID	CALIFORNIA
3	ZZZ23194Z	MEDICARE PIN	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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