Individual provider Active NPI

Frederick Eugene White, D.O.

  • Diagnostic Radiology Physician
  • Hemet, CA
National Provider Identifier
1003851130
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A4393 Issued in CA
Practice address
890 W Stetson Ave Ste B
Apex Radiology Medical Group Inc.
Hemet, CA 92543-7311
Phone
(951) 537-6002
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20A4393 CA Primary

Addresses

Primary practice location

890 W Stetson Ave Ste B
Apex Radiology Medical Group Inc.
Hemet, CA 92543-7311

Mailing address

890 W Stetson Ave Ste B
Hemet, CA 92543-7311
Phone (951) 537-6002

Other identifiers 6

IdentifierTypeStateIssuer
020A43934OtherCAMEDICARE PTAN
020A43935OtherMEDICARE PTAN
020A43936OtherCAMEDICARE PTAN
00AX43930MedicaidCA
300048952OtherCARAILRAOD
300033887OtherCARAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000868 CA Practitioner - Diagnostic Radiology 8426958083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seven Star Hospital Associates IncGroup PAC ID 4789083338, 129 clinicians

Practice addresses (Care Compare)

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811

27300 Iris Ave
Moreno Valley, CA 92555-4802
Phone (833) 574-2073

28400 McCall Blvd
Menifee, CA 92585-9658
Phone (951) 679-8888

Hospital & facility affiliations

  • Hemet Global Medical Center Hospital, Hemet, CA, CCN 050390
  • Kaiser Foundation Hospital-Moreno Valley Hospital, Moreno Valley, CA, CCN 050765
  • Menifee Global Medical Center Hospital, Sun City, CA, CCN 050684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A4393CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Hemet Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 1989 Accepting new patients
Renaissance Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

624 E Elder St
Fallbrook, CA 92028
Phone (760) 451-4165

1001 E Latham Ave
Ste G
Hemet, CA 92543
Phone (909) 658-9243

995 Saint John Pl
Hemet, CA 92543
Phone (909) 929-4674

890 W Stetson Ave
Ste B
Hemet, CA 92543
Phone (951) 652-2811

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

2390 E Florida Ave
Ste 101
Hemet, CA 92544
Phone (909) 698-0440

1117 E Devonshire Ave
#1263
Hemet, CA 92543
Phone (909) 652-2811

27300 Iris Ave
Moreno Valley, CA 92555
Phone (909) 243-0811

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

28400 McCall Blvd
#1263
Sun City, CA 92585
Phone (909) 679-8888

28400 McCall Blvd
Sun City, CA 92585
Phone (909) 679-8888

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hemet Valley Healthcare CenterHemet, CA, CCN 555623 Skilled nursing facility Corporate Officer
Corporate Director
Oct 13, 2011
Sep 15, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1003851130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W STETSON AVE STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437311",
            "telephone_number": "951-537-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W STETSON AVE STE B",
            "address_2": "APEX RADIOLOGY MEDICAL GROUP INC.",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437311",
            "telephone_number": "951-537-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "FREDERICK",
        "middle_name": "EUGENE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A4393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "020A43934",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "020A43935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "020A43936",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX43930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD",
            "identifier": "300048952",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "300033887",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.