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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: July 19, 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.

EMERGENCY PHYSICIANS MEDICAL GROUP, INC
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (330) 493-4443
ROBERT MACY MD
Internal Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441
MS. LISBETH L POWELL RNFA
Registered Nurse (Registered Nurse First Assistant)
1100 MARSHALL WAY, MARSHALL MEDICAL CENTER
PLACERVILLE, CA 95667
El Dorado County (530) 626-2611
VYAS BALLAL
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (330) 493-4443
DIPESH K. GANDHI,MD,INC
Internal Medicine (Cardiovascular Disease)
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (916) 276-2226
EMERGENCY MEDICINE PHYSICIANS OF EL DORADO COUNTY, INC.
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 626-2601
SHANE LUKE TORGERSON M.D.
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441
ANIETIE E OKON M.D.
Radiology (Diagnostic Radiology)
1100 MARSHALL WAY, MARSHALL MEDICAL CENTER
PLACERVILLE, CA 95667
El Dorado County (530) 626-1166

Frequently Asked Questions

What is PLACERVILLE RADIOLOGY MEDICAL GROUP INC's NPI number?

The NPI number assigned to this healthcare provider is 1700847621, enumerated as an "organization" on March 30, 2006.

Where is the provider located?

The provider is located at 1100 MARSHALL WAY PLACERVILLE, CA 95667 and the phone number is (530) 626-2613.

What is the provider's specialty?

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

What insurance does PLACERVILLE RADIOLOGY MEDICAL GROUP INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.