NORTH STATE RADIOLOGY MEDICAL GROUP INC (NPI# 1568405991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568405991 |
| Entity Type | Organization |
| Organization Name | NORTH STATE RADIOLOGY MEDICAL GROUP INC |
| Practice Address |
1040 Mangrove Ave Chico CA 95926-3509 |
| Mailing Address |
1720 Esplanade Chico CA 95926-3315 |
| Practice Telephone | 5308980504 |
| Practice Fax Number | 5303454505 |
| Mailing Telephone | 5308980504 |
| Mailing Fax Number | 5303454505 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY A STROMBERG (PRESIDENT) |
| Authorized Official Telephone | 5308980504 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699927988 | North State Radiology Medical Group Inc | Radiology | 1638 Esplanade, Chico, CA 95926-3313 | 2008-10-17 |
| 1417990847 | North State Radiology Medical Group Inc | Radiology | 5974 Pentz Rd, Paradise, CA 95969-5509 | 2006-06-14 |
| 1114960507 | North State Radiology Medical Group Inc | Radiology | 2809 Olive Hwy, Suite # 130, Oroville, CA 95966-6131 | 2006-06-13 |
| 1023051620 | North State Radiology Medical Group Inc | Radiology | 251 Cohasset Rd, Suite # 150, Chico, CA 95926-2241 | 2006-06-13 |
| 1033151931 | North State Radiology Medical Group Inc | Radiology | 1720 Esplanade, Chico, CA 95926 | 2006-06-12 |
| 1144268780 | North State Radiology Medical Group Inc | Radiology | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2006-06-04 |
| 1023055092 | North State Radiology Medical Group Inc | Radiology | 1531 Esplanade, Chico, CA 95926-3310 | 2006-05-31 |
| 1477590453 | North State Radiology Medical Group Inc | Radiology | 6283 Clark Rd, Suite #4, Paradise, CA 95969-4100 | 2006-05-31 |
| Street Address |
1040 MANGROVE AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752877 | Gregory Lynn Davis | Obstetrics & Gynecology | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2005-06-30 |
| 1144680141 | Kevin R Sorensen | Emergency Medicine | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2016-03-03 |
| 1306277686 | Patria Mckiernan | Nurse Practitioner | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2013-12-11 |
| 1346687225 | Robert Stephen Avilla | Family Medicine | 1040 Mangrove Ave, Chico, CA 95926 | 2013-05-31 |
| 1114030095 | Hugo A. Leon | Family Medicine | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-08-16 |
| 1962422238 | Mangrove Medical Group | Clinic/Center | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-20 |
| 1871528117 | Dean P Smith | General Practice | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-12 |
| 1407881741 | Kurt E Johnson | Family Medicine | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-12 |
| 1437180312 | Barbara J Wilde | Nurse Practitioner | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-06 |
| 1912938887 | Dewayne E Caviness | General Practice | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| 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 |
|---|---|---|---|---|
| 1013482751 | Century Radiology Medical Group, Inc | Radiology | 3224 Freshwater Crk, Chico, CA 95973-2120 | 2018-10-09 |
| 1467751529 | Benjamin Kemp | Radiology | 1380 East Ave, 124-102, Chico, CA 95926 | 2011-03-15 |
| 1932409794 | Riverside Radiology Medical Group, Inc. | Radiology | 12700 Centerville Rd, Chico, CA 95928-8328 | 2010-10-27 |
| 1598783052 | Open System Mri LLC | Radiology | 670 Rio Linda, #100, Chico, CA 95926 | 2006-07-17 |
| 1427096874 | Chico Mri Partners | Radiology | 1638 Esplanade, Chico, CA 95926-3313 | 2006-06-04 |
| 1285697292 | Joseph Howard Mcintosh | Radiology | 1720 Esplanade, Chico, CA 95926-3315 | 2006-04-10 |
| 1851360168 | John C Burnham | Radiology | 1702 Esplanade, Chico, CA 95926-3315 | 2006-03-17 |
| 1295708576 | Andrew V Barger | Radiology | 1600 Esplanade Ste C, Chico, CA 95926-3369 | 2006-02-08 |
| 1235118613 | Frederick Brandon | Radiology | 1555 Springfield Dr, Chico, CA 95928-6398 | 2006-01-13 |
| 1154950236 | Desert Medical Imaging, A Medical Corporation | Radiology | 1720 Esplanade, Chico, CA 95926-3315 | 2020-04-02 |
| Find all providers in CHICO | ||||
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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.