SIERRA NEVADA MEDICAL IMAGING – NPI #1255310124
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

SIERRA NEVADA MEDICAL IMAGING is a radiologist located in SOUTH LAKE TAHOE, CA. NPPES has assigned the NPI number 1255310124 to SIERRA NEVADA MEDICAL IMAGING on January 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Sep 17, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SIERRA NEVADA MEDICAL IMAGING below.

NPI Profile for
SIERRA NEVADA MEDICAL IMAGING

NPI Number
1255310124
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SIERRA NEVADA MEDICAL IMAGING
Primary location
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Phone: (559) 297-0300 Fax: (530) 542-9550
Mailing address
PO BOX 19879
RENO, NV 89511-2533
Phone: (888) 480-6640 Fax: (775) 852-6902
Organization Subpart
No
Authorized Official
ROBERT SILK
AUTHORIZED OFFICIAL
Phone: (559) 297-0300
Updated
Certification Date
Sep 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SIERRA NEVADA MEDICAL IMAGING

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERRR MEDICARECACA7624
OTHERRR MEDICARENVCA7623
MEDICAIDCAGR0099310
MEDICAIDNV100507836
MEDICAIDNV100507852
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.