Individual provider Active NPI

Arthur C. Duberg, MD

  • Diagnostic Radiology Physician
  • Templeton, CA
National Provider Identifier
1043284433
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G56129 Issued in CA
Practice address
1310 Las Tablas Rd
Suite 103
Templeton, CA 93465-9737
Phone
(805) 461-7080
Fax
(805) 464-0243
NPI assigned
Feb 14, 2006
Last updated
Nov 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 101138 FL
Diagnostic Radiology Physician 2085R0202X G56129 CA Primary

Addresses

Primary practice location

1310 Las Tablas Rd
Suite 103
Templeton, CA 93465-9737

Mailing address

PO Box 2920
Atascadero, CA 93423-2920
Phone (805) 461-7080

Other practice location 1

3828 Gaines Ct
Winter Haven, FL 33884-2807
Phone (805) 689-7196

Other identifiers 1

IdentifierTypeStateIssuer
00G561290MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031211001151 CA Practitioner - Diagnostic Radiology 6709782493 Reassigns benefits to 2 organizations
I20260512004477 FL Practitioner - Diagnostic Radiology 6709782493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Yale University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

San Luis Obispo, CA 93401
Phone (805) 461-7080

1154 E Grand Ave
Arroyo Grande, CA 93420-2583
Phone (805) 395-3277

262 Posada LN
Templeton, CA 93465-4057
Phone (805) 434-1491

3828 Gaines CT
Winter Haven, FL 33884-2807
Phone (805) 458-0297

77 Casa St
Suite 102
San Luis Obispo, CA 93405-5804
Phone (805) 546-7733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101138FLMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnetic Resonance Imaging of San Luis Obispo, Inc. Diagnostic Radiology CurrentSince Mar 15, 2012 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates of San Luis Obispo, a Medical Group Inc Diagnostic Radiology CurrentSince May 29, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates of San Luis Obispo PastSince Jan 1, 1999 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

921 Oak Park Blvd
Ste 102
Pismo Beach, CA 93449
Phone (805) 591-3344

522 Plaza Dr
Santa Maria, CA 93454
Phone (805) 928-3673

77 Casa St
Ste 102
Sn Luis Obisp, CA 93405
Phone (805) 546-7698

1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829

262 Posada Ln
Ste B
Templeton, CA 93465
Phone (805) 434-0335

262 Posada Ln
Ste C
Templeton, CA 93465
Phone (805) 434-1491

Organizations & group practices 7

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

Hospital & facility affiliations 2

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1043284433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2920",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934232920",
            "telephone_number": "805-461-7080",
            "fax_number": "805-464-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 LAS TABLAS RD",
            "address_2": "SUITE 103",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659737",
            "telephone_number": "805-461-7080",
            "fax_number": "805-464-0243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3828 Gaines Ct",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338842807",
            "country_code": "US",
            "telephone_number": "805-689-7196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBERG",
        "first_name": "ARTHUR",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "101138",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G56129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G561290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.