Organization Active NPI

Woodward Park Radiology Center Med. GRP

  • Diagnostic Radiology Physician
  • Fresno, CA
National Provider Identifier
1003840042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WOODWARD PARK RADIOLOGY CENTER MED. GRP
Practice address
7055 N Fresno St
203
Fresno, CA 93720-2957
Phone
(559) 437-1880
Fax
(559) 437-1888
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Howard G. Berger, MD
Title
President
Phone
(310) 445-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X CA Primary

Addresses

Primary practice location

7055 N Fresno St
203
Fresno, CA 93720-2957

Mailing address

79 Scripps Dr
100
Sacramento, CA 95825-6208
Phone (916) 921-1300

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ55191ZOtherCABLUE SHIELD
GR0081040MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003840042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SCRIPPS DR",
            "address_2": "100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256208",
            "telephone_number": "916-921-1300",
            "fax_number": "916-921-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 N FRESNO ST",
            "address_2": "203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202957",
            "telephone_number": "559-437-1880",
            "fax_number": "559-437-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD PARK RADIOLOGY CENTER MED. GRP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-445-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ55191Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0081040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.