Active NPI
Stuart Douglas Berry, M.D.
- Diagnostic Radiology Physician
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A102794
- Practice address
- 9320 Baseline Rd
Suit B1
Rancho Cucamonga, CA 91701-5829 - Phone
- (909) 466-4231
- NPI assigned
- Jul 7, 2007
- Last updated
- Oct 1, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | A102794 | CA | Primary |
Addresses
Primary practice location
9320 Baseline Rd
Suit B1
Rancho Cucamonga, CA 91701-5829
Mailing address
9320 Baseline Rd
Suit B1
Rancho Cucamonga, CA 91701-5829
Phone (909) 466-4231
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
- Loma Linda University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811
Hospital & facility affiliations
- San Antonio Regional Hospital
- City of Hope Helford Clinical Research Hospital
- Pomona Valley Hospital Medical Center
- Casa Colina Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Antonio Radiological Medical | Diagnostic Radiology | Current | Accepting new patients |
Locations
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
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
- Upland, CA
- NPI 1457396947
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Pomona, CA
- NPI 1821075870
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1225236524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9320 BASELINE RD",
"address_2": "SUIT B1",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917015829",
"telephone_number": "909-466-4231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9320 BASELINE RD",
"address_2": "SUIT B1",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917015829",
"telephone_number": "909-466-4231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "STUART",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-07",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A102794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.