Provider Demographics
NPI:1164584892
Name:NORTHERN CALIFORNIA INSTITUTE FOR BONE HEALTH, INC
Entity Type:Organization
Organization Name:NORTHERN CALIFORNIA INSTITUTE FOR BONE HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:SCHWARTZ, RN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:510-625-9100
Mailing Address - Street 1:50 VASHELL WAY,
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563
Mailing Address - Country:US
Mailing Address - Phone:510-625-9100
Mailing Address - Fax:510-625-9123
Practice Address - Street 1:50 VASHELL WAY
Practice Address - Street 2:SUITE 400
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563
Practice Address - Country:US
Practice Address - Phone:510-625-9100
Practice Address - Fax:510-625-9123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-16
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471B0102XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistBone DensitometryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAY37785Medicare UPIN
CAZZZ31781ZMedicare ID - Type Unspecified