Individual provider Active NPI

Michael Courtney Dumars, M.D.

  • Diagnostic Radiology Physician
  • Modesto, CA
National Provider Identifier
1154345239
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C506160 Issued in CA
Practice address
1239 McHenry Ave Ste a
Modesto, CA 95350-5330
Phone
(209) 491-5200
Fax
(209) 526-0935
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C506160 CA Primary

Addresses

Primary practice location

1239 McHenry Ave Ste a
Modesto, CA 95350-5330

Mailing address

PO Box 1630
Watsonville, CA 95077-1630
Phone (209) 491-4960

Other identifiers 1

IdentifierTypeStateIssuer
C50616OtherCAMEDICAL LICENSE NUMBER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122001250 CA Practitioner - Diagnostic Radiology 7810952553 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Radiology Medical Group III 327 clinicians
Modesto Advanced Diagnostic Imaging Medical Center 62 clinicians
Stockton Diagnostic Imaging 59 clinicians
Norcal Imaging 79 clinicians
Kern Radiology Medical Group Inc 94 clinicians
Radnet Medical Imaging-San Francisco 35 clinicians
Santa Rosa Imaging Medical Center 20 clinicians
Desert Advanced Imaging Medical Center 209 clinicians
Fresno Imaging Center 127 clinicians
Diagnostic Radiological Imaging 52 clinicians

Practice addresses (Care Compare)

10101 Riverside Dr
Toluca Lake, CA 91602-2517
Phone (818) 762-2626

11525 Brookshire Ave
Suite 111
Downey, CA 90241-4982
Phone (562) 904-1111

157 E Coolidge Ave
Modesto, CA 95350-4504
Phone (209) 524-6800

16130 Ventura Blvd
Suite 100
Encino, CA 91436-2517
Phone (818) 933-2020

1801 E March LN
Suite A130
Stockton, CA 95210-6650
Phone 2094759871209474

1821 W Olive Ave
Burbank, CA 91506-2435
Phone (818) 841-8880

18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2300
Phone (760) 242-4444

19950 Rinaldi St
Suite 101B C
Porter Ranch, CA 91326-4141
Phone (800) 378-5597

2001 Solar Dr
Suite 135
Oxnard, CA 93036-0635
Phone (805) 988-0616

2201 Walnut Ave
Suite 150
Fremont, CA 94538-2355
Phone (510) 713-1234

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

23961 Calle de la Magdalena
Suite 243
Laguna Hills, CA 92653-3600
Phone (949) 272-2202

25150 Hancock Ave
Suite 105
Murrieta, CA 92562-5988
Phone (951) 412-0228

25775 McBean Pkwy
Suite 100
Valencia, CA 91355-3702
Phone (661) 255-7627

2601 W Alameda Ave
Bubank, CA 91505-4810
Phone (818) 843-7462

2679 Zoe Ave
Huntington Park, CA 90255-4144
Phone (323) 584-3333

2708 E Willow St
Signal Hill, CA 90755-2217
Phone (562) 216-5120

2950 Sycamore Dr
Simi Valley, CA 93065-1210
Phone (805) 357-0067

3055 Wilshire Blvd
Suite 150
Los Angeles, CA 90010-1118
Phone (213) 487-4077

31565 Rancho Pueblo Rd
Suite 101
Temecula, CA 92592-4839
Phone (951) 302-2225

3320 N Los Coyotes Diagonal
Suite 120
Long Beach, CA 90808-3936
Phone (562) 627-0903

3440 California St
San Francisco, CA 94118-1837
Phone (415) 922-6767

3536 Mendocino Ave
Suite 280
Santa Rosa, CA 95403-3634
Phone (707) 579-8226

35800 Bob Hope Dr
Suite 150a
Rancho Mirage, CA 92270-1740
Phone (760) 770-1920

3715 E S St
Long Beach, CA 90805-4521
Phone (562) 602-0700

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
62.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C506160CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 1, 2025 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Oct 21, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 1, 2025 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Oct 21, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Sep 16, 2024 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Merced MRI Medical Group PastSince Mar 21, 2014 Accepting new patients
Port City Operating Company, LLC Past Accepting new patients

Locations (25 of 36)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2301 Bahamas Dr
Bakersfield, CA 93309

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4640 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 836-4700

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

1239 McHenry Ave
Ste A
Modesto, CA 95350
Phone (209) 491-5200

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1154345239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1630",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950771630",
            "telephone_number": "209-491-4960",
            "fax_number": "209-566-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 MCHENRY AVE STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505330",
            "telephone_number": "209-491-5200",
            "fax_number": "209-526-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMARS",
        "first_name": "MICHAEL",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C506160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "C50616",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.