Provider Demographics
NPI:1881646909
Name:CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC.
Other - Org Name:CAIMA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AVANTI
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-308-4890
Mailing Address - Street 1:PO BOX 80391
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91716-8391
Mailing Address - Country:US
Mailing Address - Phone:415-884-3415
Mailing Address - Fax:415-883-0877
Practice Address - Street 1:1101 VAN NESS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-6919
Practice Address - Country:US
Practice Address - Phone:415-600-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA101206065Medicaid
CA801255779Medicaid
CA801255782Medicaid
CA101349561Medicaid
NE10025574200Medicaid
CA801255754Medicaid
CA800348694Medicaid
IA1255530606Medicaid
CA169891OtherBLUESHIELD OF CA
CA379577200OtherDEPARTMENT OF LABOR
CA347104OtherANTHEM BLUE CROSS
CA801255740Medicaid
CA801255778Medicaid
CA100338889Medicaid
CA801255747Medicaid
CA801255774Medicaid
CA801255780Medicaid