Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Placerville Radiology Medical Group Inc

Organization Diagnostic Radiology Physician · NPI 1700847621

Placerville Radiology Medical Group Inc is a Diagnostic Radiology Physician in Placerville, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1100 Marshall Way
Placerville, CA 95667-6533
Phone: (530) 626-2613
Fax: (530) 344-5434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1700847621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anietie Okon — President · (530) 626-2613
NPI enumeratedMarch 30, 2006
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing addressPo Box 1650, Evansville, IN 47706-0051

Other providers in Placerville