Organization Active NPI

Thurmond-Federal Radiology and Imaging Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Stockton, CA
National Provider Identifier
1124054994
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
THURMOND-FEDERAL RADIOLOGY AND IMAGING MEDICAL GROUP, INC.
Practice address
546 E Pine St
Stockton, CA 95204-5525
Phone
(209) 467-1000
Fax
(209) 467-7335
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William Aubrey Federal, M.D.NPI 1659413664
Title
Medical Director
Phone
(209) 467-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

546 E Pine St
Stockton, CA 95204-5525

Mailing address

546 E Pine St
Stockton, CA 95204-5525
Phone (209) 467-1000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1124054994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 E PINE ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045525",
            "telephone_number": "209-467-1000",
            "fax_number": "209-467-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 E PINE ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045525",
            "telephone_number": "209-467-1000",
            "fax_number": "209-467-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURMOND-FEDERAL RADIOLOGY AND IMAGING MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "FEDERAL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "AUBREY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-467-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.