STOCKTON DIAGNOSTIC IMAGING (NPI# 1356538201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356538201 |
| Entity Type | Organization |
| Organization Name | STOCKTON DIAGNOSTIC IMAGING |
| Practice Address |
1801 E March Ln Ste A130 Stockton CA 95210-6650 |
| Mailing Address |
1160 Pittsford Victor Rd D-2 Pittsford NY 14534-3825 |
| Practice Telephone | 2094759871 |
| Practice Fax Number | 2094749620 |
| Mailing Telephone | 5852188007 |
| Mailing Fax Number | 5852188009 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2017-06-22 |
| Authorized Official Name | DR. HOWARD G. BERGER (PRESIDENT) |
| Authorized Official Telephone | 3104452800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1801 E MARCH LN STE A130 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-6650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| 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 |
|---|---|---|---|---|
| 1366832313 | Quantum Medical Radiology of California, PC | Radiology | 10128 Tank House Dr, Stockton, CA 95209-4335 | 2015-01-29 |
| 1508836453 | Charles Allen Stillman | Radiology | 546 E Pine St, Stockton, CA 95204-5525 | 2006-01-24 |
| 1871584227 | David W H Wong | Radiology | 5832 Saint Andrews Dr, Stockton, CA 95219-1930 | 2005-11-03 |
| 1255721213 | Solano Diagnostics Partners, A California Limited Partnership | Radiology | 10128 Tank House Dr, Stockton, CA 95209-4335 | 2015-01-29 |
| 1578844973 | Rad Physicians Medical Corporation, Inc | Radiology | 1800 N California St, Stockton, CA 95204-6019 | 2011-08-30 |
| 1639499239 | Delta Radiology Medical Group Inc | Radiology | 10200 Trinity Pkwy, # 204, Stockton, CA 95219-7286 | 2010-06-04 |
| 1891936795 | Pavan Khanna | Radiology | 1800 N California St, Stockton, CA 95204-6019 | 2009-03-23 |
| 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 |
| 1831317684 | Michael Shou Kobayashi | Radiology | 1801 E March Ln, Suite A130, Stockton, CA 95210-6629 | 2007-04-24 |
| Find all providers in STOCKTON | ||||
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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.