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PLACERVILLE RADIOLOGY MEDICAL GROUP INC
NPI 1700847621
Radiology - Diagnostic Radiology in Placerville, CA

Active since March 30, 2006
1100 MARSHALL WAY, PLACERVILLE, CA 95667(530) 626-2613(530) 344-5434 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Mar 14, 2025, Feb 27, 2025 and 1 more (4 updates tracked since 2019).

About Placerville Radiology Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLACERVILLE RADIOLOGY MEDICAL GROUP INC (NPI 1700847621) is a healthcare organization registered as a diagnostic radiology in Placerville, California and active in the NPI registry since March 2006. The organization lists Anietie Okon, President, as its authorized official.

NPPES Registry Identity

NPI1700847621
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePLACERVILLE RADIOLOGY MEDICAL GROUP INC
Location Address1100 MARSHALL WAYPlacerville, CA 95667-6533
Mailing AddressPo Box 1650Evansville, IN 47706-0051 · (530) 626-2613 · Fax (530) 344-5434
Phone(530) 626-2613
Fax(530) 344-5434
Organization SubpartNo
Authorized OfficialAnietie OkonPresident · (530) 626-2613
Enumeration DateMarch 30, 2006
Last NPPES UpdateMarch 17, 20254 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1700847621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1100 MARSHALL WAY, Placerville, CA 95667
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Other Identifiers 1

MedicaidGR0053460CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMED FAZIL SIDDIQI MD
Internal Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441
MICHAEL M WARD MD
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441
DR. ALLISON RUTH HARVEY MD
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441
PRITPAL S RANDHAWA MD
Hospitalist
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 626-2787
JORDAN HOWARD GREEN MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441
ALEXANDER CHENG-KANG GUO M.D.
Radiology (Diagnostic Radiology)
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 626-1166
DR. RUBEAL SINGH MANN M.D.
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441
KETAN P AJUDIA M.D.
Internal Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 344-5432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Placerville Radiology Medical Group Inc's NPI number?

The NPI number for Placerville Radiology Medical Group Inc is 1700847621. It was assigned to this organization in the NPPES registry on March 30, 2006.

Where is Placerville Radiology Medical Group Inc located?

Placerville Radiology Medical Group Inc is located at 1100 Marshall Way, Placerville, CA 95667. The listed phone number is (530) 626-2613.

What is Placerville Radiology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Placerville Radiology Medical Group Inc was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.