DELTA RADIOLOGY MEDICAL GROUP, INC. (NPI# 1043229271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043229271 |
| Entity Type | Organization |
| Organization Name | DELTA RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
1121 W Vine St Suite 15 Lodi CA 95240-5137 |
| Mailing Address |
Po Box 15498 Sacramento CA 95851-0498 |
| Practice Telephone | 2093344416 |
| Practice Fax Number | 2093710119 |
| Mailing Telephone | 5594554000 |
| Mailing Fax Number | 5594554007 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | TERRY GOLDBERG (CEO) |
| Authorized Official Telephone | 2093344416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ47020Z | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730353137 | Delta Radiology Medical Group, Inc. | Radiology | 2320 N California St, Suite 3, Stockton, CA 95204-5509 | 2008-04-16 |
| 1013181411 | Delta Radiology Medical Group, Inc. | Radiology | 1617 N California St, Suite 1a, Stockton, CA 95204-6117 | 2008-04-16 |
| 1659496750 | Delta Radiology Medical Group, Inc. | Specialist | 1617 N California St, Suite 1a, Stockton, CA 95204-6117 | 2007-03-20 |
| 1568587665 | Delta Radiology Medical Group, Inc. | Specialist | 2320 N California St, Suite 3, Stockton, CA 95204-5509 | 2007-03-20 |
| 1457476558 | Delta Radiology Medical Group, Inc. | Specialist | 1800 N California St, Stockton, CA 95204-6019 | 2007-03-20 |
| 1366567463 | Delta Radiology Medical Group, Inc. | Specialist | 845 Jackson St, San Francisco, CA 94133-4851 | 2007-03-20 |
| Street Address |
1121 W VINE ST SUITE 15 |
| City | LODI |
| State | CA |
| Zip Code | 95240-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659467561 | Hunnell's Medical Arts Pharmacy | Durable Medical Equipment & Medical Supplies | 1121 W Vine St, Lodi, CA 95240-5137 | 2006-10-05 |
| 1629173935 | Michael R Rigdon | Radiology | 1121 W Vine St, Suite 15, Lodi, CA 95240-5137 | 2006-09-13 |
| 1154330389 | Grant W Rogero | Radiology | 1121 W Vine St, Suite 15, Lodi, CA 95240 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306852082 | Laszlo B Fodor | Radiology | 1121 W Vine Street, Suite 15, Lodi, CA 95240 | 2006-08-01 |
| 1699760769 | Ezell Askew Jr. | Radiology | 801 S Fairmont Ave, Suite 1, Lodi, CA 95240-5106 | 2005-09-15 |
| 1700914116 | Eric K Yasumoto | Radiology | 999 S Fairmont Ave, # 110, Lodi, CA 95240-5100 | 2007-02-28 |
| 1629173935 | Michael R Rigdon | Radiology | 1121 W Vine St, Suite 15, Lodi, CA 95240-5137 | 2006-09-13 |
| 1023110277 | Rafik Khalil | Radiology | 225 Elyria St, Lodi, OH 44254-1031 | 2006-09-01 |
| 1376650143 | Radiology and Imaging Services, Inc | Radiology | 225 Elyria St, Lodi, OH 44254-1031 | 2006-08-25 |
| 1073522207 | Maxine Louise Del Paine | Radiology | 1121 W Vine Street, Suite 15, Lodi, CA 95240 | 2006-08-05 |
| 1598774721 | Majid Majidian | Radiology | 1121 W Vine Street, Suite 15, Lodi, CA 95240 | 2006-08-05 |
| 1861401093 | Roger P Vincent | Radiology | 1121 W Vine Street, Suite 15, Lodi, CA 95240 | 2006-08-05 |
| 1336158567 | Frank M Hartwick | Radiology | 1121 W Vine Street, Suite 15, Lodi, CA 95240 | 2006-08-05 |
| Find all providers in LODI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.