Provider Demographics
NPI:1295827996
Name:PRECISE RADIOLOGICAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:PRECISE RADIOLOGICAL ASSOCIATES, INC.
Other - Org Name:YUBA CITY ADVANCED IMAGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHEGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-673-6674
Mailing Address - Street 1:PO BOX P
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95992-1006
Mailing Address - Country:US
Mailing Address - Phone:530-673-6674
Mailing Address - Fax:530-673-3335
Practice Address - Street 1:470 PLUMAS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5077
Practice Address - Country:US
Practice Address - Phone:530-673-6674
Practice Address - Fax:530-673-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2085R0202X261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A704660Medicaid
CA00A704660Medicaid
CA00A704664Medicare ID - Type Unspecified
CA=========OtherTAX ID