Pet Imaging of San Jose, LLC
NPI 1477693513ActiveOrganization· Preferred Provider Organization· San Jose, CA
Preferred Provider Organization in San Jose, California, registered in NPPES in February 2007. The authorized official on file is Bijan Farhangui, Ceo, President. Medicare paid $465,121 for services to 135 patients in 2024.
Overview
| NPI | 1477693513 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2007 |
| Last updated in NPPES | Apr 24, 2020 |
| Certified by provider | Apr 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 6846-43 | CA |
| Clinic/Center, Radiology | 261QR0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 135 |
|---|---|
| Services billed | 443 across 22 procedure codes |
| Paid by Medicare | $465,121 |
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