Active NPI
Daniel Scott Dietrich, MD
- Diagnostic Radiology Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A95731
- Practice address
- 546 E Pine St
Stockton, CA 95204-5525 - Phone
- (209) 467-1000
- Fax
- (209) 464-4439
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A95731 | CA | Primary |
Addresses
Primary practice location
546 E Pine St
Stockton, CA 95204-5525
Mailing address
546 E Pine St
Stockton, CA 95204-5525
Phone (209) 467-1000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
546 E Pine St
Stockton, CA 95204-5525
Phone (209) 467-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley MRI and Radiology Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
801 S Ham Ln
Ste Q
Lodi, CA 95242
801 S Ham Ln
Ste R
Lodi, CA 95242
Phone (209) 366-1000
801 S Ham Ln
Lodi, CA 95242
Phone (209) 366-1000
3031 W March Ln
Ste 336E
Stockton, CA 95219
Phone (209) 957-3821
546 E Pine St
Ste A
Stockton, CA 95204
546 E Pine St
Stockton, CA 95204
Phone (209) 467-1000
1801 Colorado Ave
Ste 330
Turlock, CA 95382
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505433600000",
"number": "1053341669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 E PINE ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045525",
"telephone_number": "209-467-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 E PINE ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045525",
"telephone_number": "209-467-1000",
"fax_number": "209-464-4439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETRICH",
"first_name": "DANIEL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2017-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A95731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.