NPIMap

Individual provider Active NPI

Elyor Vidal

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
National Provider Identifier
1255838256
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD61546004 Issued in WA
Practice address
400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone
(805) 682-7111
NPI assigned
Apr 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A164956 CA
Diagnostic Radiology Physician 2085R0202X MD61546004 WA Primary

Addresses

Primary practice location

400 W Pueblo St
Santa Barbara, CA 93105-4353

Mailing address

400 W Pueblo St
Santa Barbara, CA 93105-4353

Other practice location 1

1959 NE Pacific Street #356410 #356410
Seattle, WA 98195-0001
Phone (512) 947-0846

Other practice location 2

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, WV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240710000835 TX Practitioner - Diagnostic Radiology 3274937982 Reassigns benefits to 12 organizations
I20260223000989 OH Practitioner - Diagnostic Radiology 3274937982 Reassigns benefits to 2 organizations
I20260228000240 WV Practitioner - Diagnostic Radiology 3274937982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians
Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians
WRH Physicians, IncGroup PAC ID 0840342366, 149 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians
Innovative Radiology PAGroup PAC ID 2668432782, 39 clinicians
Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians

Practice addresses (Care Compare)

Laredo, TX 78041
Phone (606) 439-1331

1705 Jackson St
Richmond, TX 77469-3246
Phone (479) 452-9416

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7246

210 Lee Barton Dr
Unit 307
Austin, TX 78704-1070
Phone (270) 651-4263

3310 Richmond Ave
Houston, TX 77098-3008
Phone (713) 589-5231

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

Hospital & facility affiliations

  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
  • Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062
  • Middlesboro Arh Hospital Hospital, Middlesboro, KY, CCN 180020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164956CAMDDiagnostic Radiology Physician
MD61546004WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Hospital, Inc CurrentSince Feb 1, 2026 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Feb 1, 2026 Accepting new patients
Boone Memorial Hospital, Inc Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
T J Samson Community Hospital Family Medicine CurrentSince Dec 17, 2025 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Jul 18, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 18, 2024 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Jul 1, 2024 Accepting new patients
Houston Medical Imaging Diagnostic Radiology CurrentSince Jul 18, 2024 Accepting new patients
Tra-Minw P S CurrentSince Jul 1, 2024 Accepting new patients
WRH Physicians, Inc. CurrentSince Jan 19, 2026 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Jul 1, 2024 Accepting new patients
Tra-Minw P S Past Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Past Accepting new patients

Locations

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

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

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

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

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

2502 W Trenton Rd
Edinburg, TX 78539
Phone (956) 630-2119

3310 Richmond Ave
Houston, TX 77098
Phone (713) 400-3400

2130 W Holcombe Blvd
#B
Houston, TX 77030

3322 E Walnut St
Ste 105
Pearland, TX 77581
Phone (281) 485-2201

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391

5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633

4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622

500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307

11212 Sunrise Blvd E
Ste 200
Puyallup, WA 98374

222 15th Ave SE
Puyallup, WA 98372

3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399

2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900

5919 100th St SW
Tacoma, WA 98499

1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372

701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

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 and National Provider Directory roles.

View all 21

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1255838256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054353",
            "telephone_number": "805-682-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific Street #356410 #356410",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "512-947-0846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "ELYOR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-07",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A164956",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61546004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.