Individual provider Active NPI

David W Stoller, M.D.

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1255318036
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G50834 Issued in CA
Practice address
3700 California St
Suite G350
San Francisco, CA 94118-1618
Phone
(415) 600-2940
NPI assigned
Dec 22, 2005
Last updated
Jun 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 036.103835 IL
Diagnostic Radiology Physician 2085R0202X G50834 CA Primary
Diagnostic Radiology Physician 2085R0202X 5855 AK
Diagnostic Radiology Physician 2085R0202X 35464 AZ
Diagnostic Radiology Physician 2085R0202X 30786 CO
Diagnostic Radiology Physician 2085R0202X 25MA07189700 NJ

Addresses

Primary practice location

3700 California St
Suite G350
San Francisco, CA 94118-1618

Mailing address

PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-3418

Other identifiers 11

IdentifierTypeStateIssuer
300123273OtherWARAILROAD MEDICARE
1255318036MedicaidNV
300121756OtherCARAILROAD MEDICARE
111845MedicaidAZ
200097670AMedicaidOK
8933500OtherWAL&I, CVCP
0144894OtherWAL&I
8169690MedicaidWA
8940207MedicaidNJ
93723288MedicaidCO
G00508340MedicaidCA

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
I20040426000319 CA Practitioner - Diagnostic Radiology 1254327083 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modesto Advanced Diagnostic Imaging Medical CenterGroup PAC ID 1850336736, 62 clinicians
Stockton Diagnostic ImagingGroup PAC ID 0749386894, 59 clinicians
Norcal ImagingGroup PAC ID 7911099346, 79 clinicians
Radnet Medical Imaging-San FranciscoGroup PAC ID 9830283761, 35 clinicians
Santa Rosa Imaging Medical CenterGroup PAC ID 2567408859, 20 clinicians
Diagnostic Radiological ImagingGroup PAC ID 4981680220, 52 clinicians

Practice addresses (Care Compare)

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

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

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

2320 N California St
Stockton, CA 95204-5506
Phone (209) 466-2000

3200 Telegraph Ave
Oakland, CA 94609-3016
Phone (510) 663-1950

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

79 Scripps Dr
Suite 100
Sacramento, CA 95825-6208
Phone (916) 921-1300

7911 Laguna Blvd
Elk Grove, CA 95758-7920
Phone (916) 478-3710

8750 Wilshire Blvd
Suite 100
Beverly Hills, CA 90211-2708
Phone (310) 689-3100

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
79.83 of 100Reported as group
Quality
63.33
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
79.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.103835ILMDAllergy & Immunology Physician
5855AKMDDiagnostic Radiology Physician
35464AZMDDiagnostic Radiology Physician
G50834CAMDDiagnostic Radiology Physician
30786COMDDiagnostic Radiology Physician
25MA07189700NJMDDiagnostic Radiology Physician
50834CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Mar 15, 2014 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
University of California San Francisco Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2018 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Mar 15, 2014 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2018 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Oct 25, 2014 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Oct 12, 2013 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2018 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Apr 21, 2015 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Apr 14, 2025 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
University of California San Francisco Current Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jan 1, 2014 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Imaging Advanced Consultants LLC Past Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 41)

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

2999 Regent St
Ste 225
Berkeley, CA 94705
Phone (510) 704-7760

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

2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777

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

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

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

457 Greenfield Ave
Ste 150
Hanford, CA 93230
Phone (559) 584-0210

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

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

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

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

25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230

25395 Hancock Ave
Ste 110
Murrieta, CA 92562
Phone (951) 696-4230

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1255318036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-3418",
            "fax_number": "415-883-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CALIFORNIA ST",
            "address_2": "SUITE G350",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181618",
            "telephone_number": "415-600-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036.103835",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G50834",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "5855",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "35464",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "30786",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07189700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300123273",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255318036",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300121756",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111845",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200097670A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I, CVCP",
            "identifier": "8933500",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0144894",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8169690",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8940207",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93723288",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G00508340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.