Portable Imaging Provider Application Information
PED thov kom koj xa daim ntawv npog nrog koj daim ntawv thov PAVE teev cov hom khoom siv duab, CPT Codes koj npaj siab yuav sau nqi rau, cov npe ntawm cov kws tshaj lij muab cov kev pabcuam kev pabcuam thiab cov npe ntawm cov kws kho mob muab cov npe. kev ua haujlwm feem ntawm cov kev pabcuam.
Tus nqi thov
Daim ntawv pov thawj ntawm kev sau npe
Ua ntej thov rau Medi-Cal, ua ntej mus rau California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv
Radiologic Health Branch thiab nyem rau ntawm "Programs", tom qab ntawd "Food, Drug thiab Radiation Safety" tom qab ntawd "Radiologic Health Branch" thiab xyuas kom koj ua tau raws li tag nrho cov ntawv pov thawj, sau npe thiab tso cai cov cai.
Cov ntaub ntawv xav tau
Tom ntej no, sau cov ntaub ntawv xav tau hauv qab no, raws li tsim nyog, txhawm rau muab lawv tso rau hauv PAVE thaum koj ua tiav koj daim ntawv thov PAVE. Thov xyuas kom meej tias cov ntaub ntawv uas tau muab tso tawm yog pom tseeb.
RHB Radiation Tshuab Kev Sau Npe thiab/lossis Mammography Tshuab Certification; California Radiology Supervisor Operator Permit(s), Radiologic Technologist Certificate(s) and/or X-Ray Technologist Permit(s) and/or Mammographic Radiologic Technologist Certificate(s), raws li muaj; California Medical License tam sim no rau tus kws kho mob saib xyuas. Tag nrho lwm cov ntawv pov thawj kho mob thiab cov ntawv sau npe raws li qhov yuav tsum tau ua raws li hom khoom siv.
Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav qhia tawm hauv lub xeev (tso tawm nyob rau hauv 50 Tebchaws Meskas lossis Cheeb Tsam ntawm Columbia) ntawm tus kws kho mob, lossis tus neeg kos npe rau daim ntawv thov uas muaj txoj cai khi rau tus neeg thov lossis tus muab kev pabcuam. Daim ntawv kos npe yuav tsum yog tus muab kev pabcuam, tshwj tsis yog tus neeg muab kev pabcuam yog lub koomhaum. Yog tias tus kws kho mob yog ib lub tuam txhab thiab daim ntawv thov yuav raug kos npe los ntawm ib tus neeg uas tsis yog tus muab kev pabcuam, thov xa ib daim ntawv theej ntawm ntu ntawm lub tuam txhab txoj cai lij choj uas txheeb xyuas tus neeg kos npe txoj cai rau kev cai lij choj lub koom haum.
Federal Employer Identification Number (FEIN) los yog Individual Taxpayer Identification Number (ITIN) verification, yog tsis siv tus social security naj npawb, xa mus rau tam sim no Internal Revenue Service (IRS) generated document. Tsuas yog cov ntaub ntawv lees paub muaj xws li IRS-tsim Tsab Ntawv 147-C, IRS-tsim Daim Ntawv 941 (Tsuas Ua Haujlwm Lub Peb Hlis Federal Tax Return), IRS-tsim Daim Ntawv Foos 8109-C (Daim Coupon Deposit), lossis IRS-tsim Daim Ntawv SS-4 (tsuas yog Daim Ntawv Pom Zoo/Kev Qhia Txog Tus Kheej). Nco tseg: Lub npe raug cai ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum ua raws nraim lub npe ntawm IRS-tsim cov ntaub ntawv; thiab tus neeg thov kev pab yuav tsum yog tus tswv lossis tus tub ceev xwm ntawm lub chaw teev npe hauv daim ntawv IRS. Yog xav paub ntxiv, thov mus ntsib
IRS lossis hu rau lawv ntawm (800) 829-4933.
Daim ntawv tso cai ua lag luam hauv zos, daim ntawv pov thawj se, thiab daim ntawv tso cai rau txhua lub nroog thiab / lossis lub nroog uas muaj kev lag luam ua lag luam. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum phim lub npe lag luam thiab chaw nyob ua lag luam ntawm txhua daim ntawv tso cai hauv zos thiab cov ntawv tso cai. Yog tias tsis tas yuav tsum muaj daim ntawv tso cai ua lag luam / daim ntawv tso cai, thov xa ib daim ntawv sau los ntawm koj lub nroog / lub nroog uas qhia tias koj lub lag luam tsis tas yuav muaj ntawv tso cai lossis ntawv tso cai. Yog xav paub ntxiv, thov hu rau koj lub nroog lub chaw ua haujlwm daim ntawv tso cai ua lag luam thiab/lossis mus saib
hauv California Lub Xeev Lub Koom Haum ntawm Lub Nroog thiab xaiv qhov txuas "California's Counties" txuas, tom qab ntawd xaiv "Lub Nroog Lub Vev Xaib."
Sau/stamped
Fictitious Business Name Statement (FBNS), tawm los ntawm lub nroog uas lub chaw tseem ceeb ntawm kev lag luam nyob, yog siv lub npe lag luam cuav THIAB lub npe lag luam txawv ntawm lub npe raug cai ntawm koj daim ntawv thov. Piv txwv li, nyob rau hauv cov ntaub ntawv ntawm lub tuam txhab, ib lub npe uas tsis yog lub koom haum lub npe nyob rau hauv cov ntaub ntawv nrog tus Secretary of State yuav tsum tau ib tug FBNS. Nco tseg: Lub npe lag luam thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov, tag nrho cov ntawv tso cai ua lag luam hauv zos, thiab FBNS yuav tsum sib haum. Txhawm rau txiav txim siab txog lub nroog lub chaw haujlwm uas siv cov npe lag luam cuav, thov mus saib hauv
California Lub Xeev Lub Koom Haum Koom Tes ntawm Lub Nroog thiab nyem rau ntawm "California's Counties" txuas, thiab xaiv "Lub Nroog Web Sites."
Tam sim no Commercial Vehicle Registration thiab pov thawj ntawm Commercial Vehicle Insurance tam sim no.
Ua tiav Daim Ntawv Pom Zoo Sib Koom Tes, yog tias koj lub lag luam yog kev koom tes. Kev ua haujlwm qeeb yuav raug zam los ntawm kev qhia seb lub koom haum puas yog General Partnership lossis Limited Partnership thiab tseem xa cov hauv qab no:
Rau Kev Koom Tes Sib Koom Tes, ib daim ntawv teev npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj kev txaus siab rau txhua tus; los yog
Rau Kev Koom Tes Ua Lag Luam Limited, cov ntaub ntawv txheeb xyuas Tus Neeg Koom Tes General thiab cov npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj cov paj laum rau txhua tus.
Txhawm rau txheeb xyuas lossis hloov lub npe thiab / lossis xwm txheej ntawm koj txoj kev koom tes lossis xav paub ntxiv, thov mus saib Tus
Tuav Haujlwm Hauv Xeev California Kev Lag Luam Portal thiab nyem rau ntawm "California Lag Luam Tshawb Fawb" txuas lossis lwm qhov txuas uas tsim nyog.
Yog tias koj lub lag luam yog ib lub tuam txhab, kev ua haujlwm qeeb yuav raug zam los ntawm kev xa cov ntawv luam ntawm
Cov Ntawv Sau Npe ntawm Kev Koom Tes los ntawm California Tus Tuav Ntaub Ntawv ntawm Lub Xeev (lossis Daim Ntawv Tshaj Tawm ntawm Domestic Stock Corporation yog tias koj lub tuam txhab nyob sab nraum California), thiab cov npe ntawm cov thawj coj thiab cov tub ceev xwm cov npe thiab cov npe, nrog rau feem pua ntawm cov tswv cuab thiab tswj kev txaus siab rau txhua tus. Txhawm rau txheeb xyuas lossis hloov lub npe thiab / lossis xwm txheej ntawm koj lub tuam txhab lossis xav paub ntxiv, thov mus saib Tus
Tuav Haujlwm Hauv Xeev California Kev Lag Luam Portal thiab nyem rau ntawm "California Lag Luam Tshawb Fawb" txuas lossis lwm qhov txuas uas tsim nyog.
Certificate of Commercial Liability Insurance (kev lag luam, kev lag luam, lossis kev lav phib xaub, lossis kev tuav pov hwm hauv chaw ua haujlwm) hauv tus nqi tsis pub tsawg dua $ 100,000 rau ib daim ntawv thov thiab qhov tsawg kawg nkaus txhua xyoo ntawm $ 300,000. Kev lees paub lees paub yog pov thawj ntawm kev tuav pov hwm tus kheej, lossis daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm cov ntawv pov hwm, hnub siv tau, thiab kev txwv ntawm kev pov hwm. Nco tseg: Lub npe thiab chaw nyob ua lag luam, suav nrog tus lej suite yog tias tsim nyog, ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum ua raws nraim li tus neeg tuav pov hwm lub npe thiab chaw nyob ntawm daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm.
Certificate of Professional Liability Insurance nyob rau hauv ib tug npaum li cas ntawm tsis tsawg tshaj li $100,000 ib daim ntawv thov thiab ib tug tsawg kawg nkaus txhua xyoo tag nrho ntawm $300,000 rau txhua tus neeg muaj ntawv tso cai teev nyob rau hauv daim ntawv thov pob. Kev lees paub lees paub yog daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe ntawm cov ntawv pov hwm, hnub siv tau, thiab kev txwv ntawm kev pov hwm. Nco tseg: Tus kws kho mob lub npe, raws li pom nyob rau hauv daim ntawv tso cai tus kws tshaj lij (s) daim ntawv tso cai yuav tsum tau qhia nyob rau hauv kev txheeb xyuas ntawm daim ntawv pov hwm kev lav phib xaub.
Certificate of Workers 'Compensation Insurance yog xav tau los ntawm California txoj cai lij choj, yog tias koj lub lag luam muaj ib lossis ntau tus neeg ua haujlwm. Kev lees paub lees paub yog pov thawj ntawm kev tuav pov hwm tus kheej, lossis daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm cov ntawv pov hwm, thiab hnub siv tau. Yog tias tsis muaj kev pov hwm them nyiaj rau Cov Neeg Ua Haujlwm, yuav tsum muaj lus piav qhia. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam yuav tsum ua raws nraim li cov ntawv pov hwm lub npe thiab chaw nyob ntawm daim ntawv pov thawj ntawm kev pov hwm.
Daim ntawv cog lus tam sim no ntawm tus kws kho mob thiab tus kws kho mob saib xyuas, yog tias muaj.
Successor Liability with Joint and Several Liability Agreement (
DHCS 6217), yog muaj.
PAUB Portal
Nkag mus rau
PAVE portal.
