Active NPI
Ethan Radzinsky
- Diagnostic Radiology Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 177745
- Practice address
- 751 S Bascom Ave
San Jose, CA 95128-2604 - Phone
- (408) 885-5110
- NPI assigned
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 177745 | CA | Primary |
Addresses
Primary practice location
751 S Bascom Ave
San Jose, CA 95128-2604
Mailing address
751 S Bascom Ave
San Jose, CA 95128-2604
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
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868
1640 E Roseville Pkwy
Suite 9
Roseville, CA 95661-3902
Phone (916) 784-2277
1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone (916) 731-7770
16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457
2261 Douglas Blvd
Roseville, CA 95661-3831
Phone (916) 783-7109
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
250 W Main St
Woodland, CA 95695-3652
Phone (916) 668-6100
2660 W Covell Blvd
Davis, CA 95616-5645
Phone (530) 747-3000
2800 L St
Sacramento, CA 95816-5616
2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600
3200 Bell Rd
Auburn, CA 95603-9244
Phone (530) 885-7616
3201 Data Dr
Rancho Cordova, CA 95670-7374
Phone (916) 851-1440
3301 C St
Suite 1500
Sacramento, CA 95816-3371
Phone (877) 827-7463
440 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3409
444 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3420
4860 Y St
Sacramento, CA 95817-2307
4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525
4868 X St
Sacramento, CA 95817-2205
550 W Ranch View Dr
Suite 1200
Rocklin, CA 95765-5398
Phone (916) 295-5810
7551 Madison Ave
Citrus Heights, CA 95610-7449
Phone (916) 904-3000
8110 Laguna Blvd
Elk Grove, CA 95758-8094
Phone (916) 683-3942
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177745 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Diagnostic Radiology | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients |
Locations
10850 White Rock Rd
Rancho Cordova, CA 95670
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
4860 Y St
Ste 500
Sacramento, CA 95817
Phone (916) 734-3171
4868 X St
Sacramento, CA 95817
Phone (916) 703-1503
Interoperability endpoints
- eradzinsky625225@hisp.ehr.sutterhealth.org
Organizations & group practices 3
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.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1114555430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282604",
"telephone_number": "408-885-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADZINSKY",
"first_name": "ETHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "177745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.