Organization Active NPI

North State Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Chico, CA
National Provider Identifier
1023051620
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTH STATE RADIOLOGY MEDICAL GROUP INC
Practice address
251 Cohasset Rd
Suite # 150
Chico, CA 95926-2241
Phone
(530) 898-0504
Fax
(530) 345-4505
NPI assigned
Jun 13, 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
Gary A Stromberg, M.D.
Title
President
Phone
(530) 898-0504

Specialties & licenses 1

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

Addresses

Primary practice location

251 Cohasset Rd
Suite # 150
Chico, CA 95926-2241

Mailing address

1720 Esplanade
Chico, CA 95926-3315
Phone (530) 898-0504

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023051620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263315",
            "telephone_number": "530-898-0504",
            "fax_number": "530-898-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 COHASSET RD",
            "address_2": "SUITE # 150",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262241",
            "telephone_number": "530-898-0504",
            "fax_number": "530-345-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STATE RADIOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STROMBERG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-898-0504",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, 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.