Niv E Decalo in San Jose - Diagnostic Radiology
Niv E Decalo - NPI 1053511667
Niv E Decalo is a Diagnostic Radiology in San Jose, California. Niv E Decalo practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Niv E Decalo is 1053511667. The last update date is 2019-03-29.
Niv E Decalo's current location address is 225 N Jackson Ave, San Jose, California. You can contact this provider via phone number 4082595000. The mailing address for Niv E Decalo is 225 N Jackson Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Niv E Decalo |
|---|---|
| Address | 225 N Jackson Ave, San Jose, California |
| Phone Number | 4082595000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053511667 |
|---|---|
| Provider Enumeration Date | 2007-07-21 |
| Last Updated Date | 2019-03-29 |
Provider Mailing Address Detail
| Address | 225 N Jackson Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 95116 |
| Phone Number | 4082595000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | A120987 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1053511667 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Niv E Decalo by the Centers for Medicare & Medicaid Services?
The Niv E Decalo has been assigned the NPI (National Provider Identifier) 1053511667 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Niv E Decalo's physical address?
The Niv E Decalo is physically located at 225 N Jackson Ave, in the city of San Jose, CA, with the postal code 95116.
What is Niv E Decalo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Niv E Decalo's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date did the Niv E Decalo receive the assignment of its 1053511667 from the Centers for Medicare & Medicaid Services?
The Niv E Decalo was issued its 1053511667 by the Centers for Medicare & Medicaid Services on 2007-07-21.
As of what date was the information pertaining to Niv E Decalo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Niv E Decalo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-03-29.