Active NPI
Joel Howard Block, MD
- Diagnostic Radiology Physician
- Rancho Cucamongo, CA
National Provider Identifier
1225098189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G44323
- Practice address
- 8599 Haven Ave.
Suite 300
Rancho Cucamongo, CA 91730-4849 - Phone
- (909) 620-8180
- Fax
- (866) 735-9647
- NPI assigned
- Mar 24, 2006
- Last updated
- Mar 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G44323 | CA | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | G44323 | CA |
Addresses
Primary practice location
8599 Haven Ave.
Suite 300
Rancho Cucamongo, CA 91730-4849
Mailing address
8599 Haven Ave.
Suite 300
Rancho Cucamongo, CA 91730-4849
Phone (909) 620-8180
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G44323 | Other | CA | LICENSE |
| CG1263 | Other | CA | RAILROAD MEDICARE |
| 00G443230 | 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 |
|---|---|---|---|
| G44323 | CA | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Radiology Consultants PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1689606188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1225098189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8599 HAVEN AVE.",
"address_2": "SUITE 300",
"city": "RANCHO CUCAMONGO",
"state": "CA",
"postal_code": "917304849",
"telephone_number": "909-620-8180",
"fax_number": "866-735-9647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8599 HAVEN AVE.",
"address_2": "SUITE 300",
"city": "RANCHO CUCAMONGO",
"state": "CA",
"postal_code": "917304849",
"telephone_number": "909-620-8180",
"fax_number": "866-735-9647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "JOEL",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G44323",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "G44323",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G44323",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CG1263",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G443230",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamongo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.