DR. OSCAR O ISIDORO (NPI# 1588793103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588793103 |
| Entity Type | Individual |
| Full Name | DR. OSCAR O ISIDORO |
| Credential | MD |
| Practice Address |
2320 N California St Suite 2 Stockton CA 95204-5509 |
| Practice Telephone | 2094662000 |
| Mailing Telephone | 2094662000 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2009-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
C52637 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AI7290757 | 01 | |
| CA | CALIFORNIA LICENSE | C52637 | 01 |
| Street Address |
2320 N CALIFORNIA ST SUITE 2 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093786022 | Janwyn Loy Funamura | Pediatrics | 2320 N California St, Suite 2, Stockton, CA 95204-5509 | 2006-01-28 |
| 1730353137 | Delta Radiology Medical Group, Inc. | Radiology | 2320 N California St, Suite 3, Stockton, CA 95204-5509 | 2008-04-16 |
| 1568587665 | Delta Radiology Medical Group, Inc. | Specialist | 2320 N California St, Suite 3, Stockton, CA 95204-5509 | 2007-03-20 |
| 1407915739 | Jack Leonard Funamura | Radiology | 2320 N California St, Suite 2, Stockton, CA 95204-5509 | 2006-12-06 |
| 1982762365 | Javad Jamshidi | Nuclear Medicine | 2320 N California St, Suite 2, Stockton, CA 95204-5509 | 2006-12-05 |
| 1548328933 | Francis Isidoro | Nuclear Medicine | 2320 N California St, Suite 2, Stockton, CA 95204-5509 | 2006-12-05 |
| 1073558656 | Stockton Mri & Molecular Imaging Medical Center Inc | Clinic/Center | 2320 N California St, Suite B, Stockton, CA 95204-5506 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871718064 | Tate Diagnostic, Inc | Clinic/Center | 628 Lincoln Ctr, Stockton, CA 95207-2640 | 2007-04-15 |
| 1598700171 | Valley Mri Center | Clinic/Center | 546 E Pine St, Stockton, CA 95204-5525 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201012 | Whitsett Diagnostic Inc | Clinic/Center | 12444 Victory Blvd Ste 407, North Hollywood, CA 91606-3199 | 2020-07-02 |
| 1164049508 | Ohni Imaging Inc | Clinic/Center | 8631 W 3rd St # 945e, Los Angeles, CA 90048-5901 | 2020-07-01 |
| 1952924599 | Oracle Imaging Inc. | Clinic/Center | 6941 Brockton Ave, Riverside, CA 92506-3803 | 2020-05-18 |
| 1720625742 | F&m Radiology Medical Center Inc | Clinic/Center | 17779 Ventura Blvd # 100, Encino, CA 91316-3717 | 2019-12-09 |
| 1982240321 | United Care Foundation | Clinic/Center | 2233 Watt Ave Ste 120, Sacramento, CA 95825-0569 | 2019-11-20 |
| 1932744893 | Westcoast Radiology Associates Pllc | Clinic/Center | 4193 Flat Rock Dr Ste 200, Riverside, CA 92505-7113 | 2019-11-14 |
| 1518502087 | Ishraf Corporation | Clinic/Center | 5720 Stoneridge Mall Rd Ste 288, Pleasanton, CA 94588-2830 | 2019-11-08 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
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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.