Active NPI
Donald T Fitzgerald, MD
- Diagnostic Radiology Physician
- Bakersfield, CA
National Provider Identifier
1124011549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A25468
- Practice address
- 9602 Stockdale Hwy
Bakersfield, CA 93311-3618 - Phone
- (661) 633-5000
- Fax
- (661) 633-2500
- NPI assigned
- Aug 31, 2005
- Last updated
- Jul 9, 2007
- 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 | A25468 | CA | Primary |
Addresses
Primary practice location
9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Mailing address
PO Box 2447
Bakersfield, CA 93303-2447
Phone (661) 633-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A254680 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25468 | CA | MD | Counseling Psychologist |
| A25468 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwich Radiology Group, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Adventist Health Physicians Network | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiology Clinic/Center
- Bakersfield, CA
- NPI 1942236443
-
dba Highgrove Medical Center
- General Practice Physician
- Bakersfield, CA
- NPI 1396043683
-
- Diagnostic Radiology Physician
- Putnam, CT
- NPI 1063542348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124011549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2447",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933032447",
"telephone_number": "661-633-5000",
"fax_number": "661-633-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9602 STOCKDALE HWY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933113618",
"telephone_number": "661-633-5000",
"fax_number": "661-633-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "DONALD",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A25468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A254680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.