Individual provider Active NPI

Mario P Sattah, MD

  • Diagnostic Radiology Physician
  • Tracy, CA
National Provider Identifier
1063444768
Registry record updated Dec 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A81519 Issued in CA
Practice address
1530 Bessie Ave
Suite 108
Tracy, CA 95376
Phone
(209) 833-2393
Fax
(209) 833-2399
NPI assigned
Jul 6, 2006
Last updated
Dec 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2007

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 A81519 CA Primary

Addresses

Primary practice location

1530 Bessie Ave
Suite 108
Tracy, CA 95376

Mailing address

4301 North Star Way
Modesto, CA 95356
Phone (209) 342-2300

Other identifiers 1

IdentifierTypeStateIssuer
00A815190MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 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
I20060814000327 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1153229414 Reassigns benefits to 10 organizations
I20250505003185 HI Practitioner - Diagnostic Radiology 1153229414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Emory University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Practice addresses (Care Compare)

1031 S Fairmont Ave
Lodi, CA 95240-5112
Phone (209) 334-8580

1205 E N St
Manteca, CA 95336-4932
Phone (209) 647-2184

500 W Hospital Rd
French Camp, CA 95231-9693

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

815 S Fairmont Ave
Lodi, CA 95240-5116
Phone (209) 333-1884

92 -1097 Koio Dr
M 335
Kapolei, HI 96707-2296
Phone (209) 647-2184

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
53.98 of 100Reported as group
Quality
11.8
Promoting interoperability
74
Improvement activities
0
Cost
82.7

Merit-based Incentive Payment System (MIPS)

Final score
71.84 of 100Reported as group
Quality
41.46
Improvement activities
40
Cost
87.23

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Dec 1, 2021 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Golden Gate Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
County of Monterey CurrentSince Dec 1, 2021 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Nov 4, 2023 Accepting new patients
Central Valley Imaging Medical Associates, Inc Diagnostic Radiology CurrentSince Jun 1, 2014 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Jun 1, 2025 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
County of San Joaquin CurrentSince Feb 22, 2014 Accepting new patients
Golden Gate Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2020 Accepting new patients
County of Santa Clara Current Accepting new patients
Delta Radiology, Inc. CurrentSince Apr 1, 2025 Accepting new patients
County of San Joaquin CurrentSince Feb 22, 2014 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Delta Radiology, Inc. CurrentSince Apr 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2020 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Delta Sierra Medical Group, Inc PastSince Dec 7, 2025 Accepting new patients
North Atlanta Scan Associates Inc Past Accepting new patients

Locations

386 Gellert Blvd
Daly City, CA 94015
Phone (415) 677-2320

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

1031 S Fairmont Ave
Lodi, CA 95240
Phone (209) 333-7422

1121 W Vine St
Ste 15
Lodi, CA 95240
Phone (209) 333-7422

1121 W Vine St
Ste 16
Lodi, CA 95240
Phone (209) 263-0200

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

250 Cherry Ln
Ste 116
Manteca, CA 95337
Phone (209) 647-4684

3600 Sisk Rd
Ste 1A
Modesto, CA 95356
Phone (800) 889-4144

4301 N Star Way
Modesto, CA 95356
Phone (915) 521-2290

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

415 E Harding Way
Ste E
Stockton, CA 95204
Phone (209) 337-4935

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

Interoperability endpoints

  • Direct secure messaging: msattah95688@hisp.ehr.sutterhealth.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 5

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198886400000",
    "number": "1063444768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NORTH STAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95356",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BESSIE AVE",
            "address_2": "SUITE 108",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-833-2393",
            "fax_number": "209-833-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTAH",
        "first_name": "MARIO",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A81519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A815190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.