Provider Demographics
NPI:1982669313
Name:SALINAS VALLEY RADIOLOGISTS, INC.
Entity Type:Organization
Organization Name:SALINAS VALLEY RADIOLOGISTS, INC.
Other - Org Name:SALINAS VALLEY MAMMOGRAPHY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:LEAD RADIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOWALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-775-5200
Mailing Address - Street 1:627 BRUNKEN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-5002
Mailing Address - Country:US
Mailing Address - Phone:831-796-3740
Mailing Address - Fax:
Practice Address - Street 1:559 ABBOTT ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4325
Practice Address - Country:US
Practice Address - Phone:831-775-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0016280Medicaid
CAZZZ30721ZMedicare PIN