Individual provider Active NPI

Charles E. Fiske, M.D.

  • Radiation Oncology Physician
  • Oakland, CA
National Provider Identifier
1013900331
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G35057 Issued in CA
Practice address
411 30TH St
#508
Oakland, CA 94609-3310
Phone
(925) 274-4950
Fax
(925) 274-4975
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 20

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.

View all 20

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modesto Advanced Diagnostic Imaging Medical Center 62 clinicians
Stockton Diagnostic Imaging 59 clinicians
Norcal Imaging 79 clinicians
Radnet Medical Imaging-San Francisco 35 clinicians
Diagnostic Radiological Imaging 52 clinicians

Practice addresses (Care Compare)

157 E Coolidge Ave
Modesto, CA 95350-4504
Phone (209) 524-6800

1801 E March LN
Suite A130
Stockton, CA 95210-6650
Phone 2094759871209474

2201 Walnut Ave
Suite 150
Fremont, CA 94538-2355
Phone (510) 713-1234

2320 N California St
Stockton, CA 95204-5506
Phone (209) 466-2000

3200 Telegraph Ave
Oakland, CA 94609-3016
Phone (510) 663-1950

3440 California St
San Francisco, CA 94118-1837
Phone (415) 922-6767

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

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

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
I20070815000755 CA Practitioner - Diagnostic Radiology 8426140898 Reassigns benefits to 13 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057CAMDChiropractor
G35057CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Radiological Imaging CurrentSince May 10, 2017 Accepting new patients
Norcal Imaging CurrentSince Jan 1, 2007 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center CurrentSince Dec 15, 2017 Accepting new patients
Pronet Imaging Medical Group, Inc. CurrentSince Dec 15, 2017 Accepting new patients
Stockton Diagnostic Imaging CurrentSince Dec 12, 2017 Accepting new patients
Radnet Medical Imaging-San Francisco CurrentSince Dec 15, 2017 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Dec 12, 2017 Accepting new patients
Fresno Imaging Center CurrentSince Dec 15, 2017 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Dec 12, 2017 Accepting new patients
Santa Rosa Imaging Medical Center CurrentSince Dec 12, 2017 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Dec 15, 2017 Accepting new patients
Norcal Imaging CurrentSince Jan 1, 2007 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Dec 12, 2017 Accepting new patients
Desert Advanced Imaging Medical Center CurrentSince Dec 12, 2017 Accepting new patients
Pacific Imaging Consultants, a Medical Group, Inc. Past Accepting new patients
Santa Ana Tustin Radiology Medical Group Past Accepting new patients
Kern Radiology Medical Group, Inc Past Accepting new patients

Locations (25 of 36)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

2999 Regent St
Ste 225
Berkeley, CA 94705
Phone (510) 704-7760

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014

72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980

5924 Stoneridge Dr
Ste 105
Pleasanton, CA 94588
Phone (925) 463-0554

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X G35057 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

411 30TH St
#508
Oakland, CA 94609-3310

Mailing address

411 30TH St
#508
Oakland, CA 94609-3310
Phone (925) 274-4950

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2014.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1013900331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 30TH ST",
            "address_2": "#508",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093310",
            "telephone_number": "925-274-4950",
            "fax_number": "925-274-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 30TH ST",
            "address_2": "#508",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093310",
            "telephone_number": "925-274-4950",
            "fax_number": "925-274-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISKE",
        "first_name": "CHARLES",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G35057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.