Active NPI
Russell Bernard Sadler Galaxy Medical Diagnostic
- Diagnostic Radiology Physician
- Apple Valley, CA
National Provider Identifier
1093049587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A30046
- Legal business name
- RUSSELL BERNARD SADLER GALAXY MEDICAL DIAGNOSTIC
- Practice address
- 19127 Palo Verde Dr
Apple Valley, CA 92308-8900 - Phone
- (559) 333-7390
- NPI assigned
- Sep 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell B Sadler, MD
- Title
- President
- Phone
- (559) 333-7390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A30046 | CA | Primary |
Addresses
Primary practice location
19127 Palo Verde Dr
Apple Valley, CA 92308-8900
Mailing address
12814 Victory Blvd Ste 192
North Hollywood, CA 91606-3013
National Provider Directory
National Provider DirectoryLocations
12814 Victory Blvd
Ste 192
North Hollywood, CA 91606
12814 Victory Blvd
#192
North Hollywood, CA 91606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260835200000",
"number": "1093049587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12814 VICTORY BLVD STE 192",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19127 PALO VERDE DR",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923088900",
"telephone_number": "559-333-7390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSELL BERNARD SADLER GALAXY MEDICAL DIAGNOSTIC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-30",
"last_updated": "2009-12-15",
"status": "A",
"authorized_official_last_name": "SADLER",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-333-7390",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A30046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.