Organization Active NPI

Russell Bernard Sadler Galaxy Medical Diagnostic

  • Diagnostic Radiology Physician
  • Apple Valley, CA
National Provider Identifier
1093049587
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A30046 Issued in CA
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

Updated by the provider on Dec 15, 2009

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.