Provider Demographics
NPI:1356394167
Name:SALINAS VALLEY RADIOLOGISTS
Entity type:Organization
Organization Name:SALINAS VALLEY RADIOLOGISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
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:831-796-3740
Mailing Address - Street 1:945 S MAIN ST
Mailing Address - Street 2:201
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2400
Mailing Address - Country:US
Mailing Address - Phone:831-796-3740
Mailing Address - Fax:831-751-6393
Practice Address - Street 1:626 BRUNKEN AVE
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4374
Practice Address - Country:US
Practice Address - Phone:831-796-3740
Practice Address - Fax:831-751-6393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ24515ZMedicare PIN