STOCKDALE RADIOLOGY PHYSICIANS SERVICES, INC. (NPI# 1760915607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760915607 |
| Entity Type | Organization |
| Organization Name | STOCKDALE RADIOLOGY PHYSICIANS SERVICES, INC. |
| Practice Address |
3411 Bayview Dr Manhattan Beach CA 90266-3332 |
| Mailing Address |
4000 Empire Dr Ste 100 Bakersfield CA 93309-0401 |
| Practice Telephone | 5594554109 |
| Practice Fax Number | 9165330313 |
| Mailing Telephone | 6616318000 |
| Mailing Fax Number | 6616318005 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |
| Authorized Official Name | DAVID G. SUADI (PRESIDENT) |
| Authorized Official Telephone | 5594559109 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A113992 | CA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STOCKDALE RADIOLOGY PHYSICIANS SERVICES, INC. | 4000 Empire Drive, Suite 100, Bakerfield, Ca 933090441 |
| Street Address |
3411 BAYVIEW DR |
| City | MANHATTAN BEACH |
| State | CA |
| Zip Code | 90266-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770099756 | Tene Anderson | Massage Therapist | 500 S. Sepulveda Blvd, 207, Manhattan Beach, CA 90266 | 2017-12-28 |
| 1689035552 | Sean Limahelu | Physical Therapist | 400 S. Sepulveda Blvd. Suite 105, Manhattan Beach, CA 90266 | 2016-03-18 |
| 1609248053 | Nora Lillian Fong | General Practice | 425 15th St., Manhattan Beach, CA 90266 | 2015-10-26 |
| 1598182461 | Behavior and Education Inc | Day Training, Developmentally Disabled Services | 1888 Rosecrans Ave, Suite 2200, Manhattan Beach, CA 90266 | 2014-03-27 |
| 1538502406 | Cynara Conroy Allison | Marriage & Family Therapist | 1716 Manhattan Beach Blvd. #c, Manhattan Beach, CA 90266 | 2013-04-10 |
| 1598001919 | Cassandra Giornali Sorrell | Marriage & Family Therapist | 1050 Duncan Avenue, Suite K, Manhattan Beach, CA 90266 | 2012-12-13 |
| 1669716056 | Maria Lynn Newson | Marriage & Family Therapist | 2007 Cedar Avenue, Manhattan Beach, CA 90266 | 2012-11-26 |
| 1407113376 | Mona-lisa Lind | Marriage & Family Therapist | 901 North Pacific Coast Hwy., Ste. 200a-204a, Redondo Beach, CA 90266 | 2012-04-17 |
| 1790063964 | Chad Chin Seng Heng | Anesthesiology | 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 | 2011-07-21 |
| 1417262908 | Jennifer V. Izzarelli | Nurse Practitioner | 111 North Sepulveda Boulevard, Suite 210, Manhattan Beach, CA 90266 | 2010-08-10 |
| Find all providers in zip 90266 | ||||
| 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 |
|---|---|---|---|---|
| 1891701959 | Joseph Trammell Dixon | Radiology | 2801 Palm Ave, Manhattan Beach, CA 90266-2350 | 2006-07-31 |
| 1447270608 | William V Glenn | Radiology | 112 The Strand, Manhattan Beach, CA 90266-6524 | 2006-07-20 |
| 1811950231 | Michael Joseph Cooney | Radiology | 116 N Dianthus St, Manhattan Beach, CA 90266-6713 | 2006-04-07 |
| 1528040508 | Cheryl Heidi Hoffman | Radiology | 2200 N Sepulveda Blvd, Manhattan Beach, CA 90266-2910 | 2005-11-16 |
| 1467401240 | Donald Lewis Roback | Radiology | 2200 N Sepulveda Blvd, Manhattan Beach, CA 90266-2910 | 2006-05-09 |
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| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | MANHATTAN BEACH |
| Zip Code | 90266 |
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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.