NORTH VALLEY PORTABLE X-RAY — NPI 1740461821 (Licensed & Credentialed Suppliers

CMS-1500 Box 24J / 33a • NPI

1740461821

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

335V00000X (CMS 63)

Licensed & Credentialed Suppliers — Portable X-Ray Supplier

Box 32 Service Location & ZIP+4

2095 RENZ RD, DURHAM, CA, 95938-9627

✓ 9-Digit EDI 837 ZIP+4 (95938-9627)

Practice Phone & Referral Fax

(530) 895-3178

Fax: (530) 895-8731

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1740461821 (NORTH VALLEY PORTABLE X-RAY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1740461821` (NPI-2 Organization / Facility)
Provider / Legal Name	NORTH VALLEY PORTABLE X-RAY
Plain-English Specialty	Licensed & Credentialed Suppliers — Portable X-Ray Supplier NUCC Code: `335V00000X` (Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2095 RENZ RD, DURHAM, CA, 95938-9627
Practice Telephone / Fax	Tel: (530) 895-3178 \| Fax: (530) 895-8731
Administrative Mailing Address	PO BOX 1220, DURHAM, CA, 95938-1220
Enumeration & Last Sync	Enumerated: 2007-11-17 \| CMS Record Updated: 2023-08-25
Authorized Official	SUSAN DAVIN HANCOCK (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2095 RENZ RD, DURHAM, CA, 95938-9627

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Plain-English Taxonomy & CMS Crosswalk (335V00000X)

What Does Taxonomy Code 335V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 335V00000X translates to:
"Licensed & Credentialed Suppliers — Portable X-Ray Supplier"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 63 (Portable X-Ray Supplier)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NORTH VALLEY PORTABLE X-RAY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`335V00000X` — Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier Plain English: Licensed & Credentialed Suppliers — Portable X-Ray Supplier	State: CA \| License: `FAC41966` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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NORTH VALLEY PORTABLE X-RAY (NPI #1740461821)