Active NPI
Stuart A. Souders, M.D.
- Specialist
- Huntington Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C39838
- Practice address
- 5901 Warner Ave
Suite 151
Huntington Beach, CA 92649-4659 - Phone
- (714) 717-7154
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C39838 | CA | Primary |
Addresses
Primary practice location
5901 Warner Ave
Suite 151
Huntington Beach, CA 92649-4659
Mailing address
5901 Warner Ave
Suite 151
Huntington Beach, CA 92649-4659
Phone (714) 717-7154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C398380 | Medicaid | CA |
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
- University of Nebraska College of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000
372 W Cypress Ave
Reedley, CA 93654-2113
Phone (559) 638-8155
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 86.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C39838 | CA | MD | Specialist |
| 39838 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Tulare | Current | Accepting new patients | |
| Reedley Community Hospital | Current | Accepting new patients | |
| Fresno Imaging Center | Current | Accepting new patients | |
| Reedley Community Hospital | Current | Accepting new patients | |
| San Fernando Valley Interventional Radiology and Imaging Center | Current | Accepting new patients | |
| Beverly Radiology Medical Group III | Current | Accepting new patients | |
| Pronet Imaging Medical Group, Inc. | Current | Accepting new patients | |
| Hanford Community Hospital | Current | Accepting new patients | |
| Beverly Radiology Medical Group III | Current | Accepting new patients | |
| Golden State Imaging Associates Inc | Current | Accepting new patients | |
| Link Institute for Women's Health | Specialist | Past | Accepting new patients |
| F&S Radiology, P.C. | 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
801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099
16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020
16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707
17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200
6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200
6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433
9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170
125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440
2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333
47111 Monroe St
#1112
Indio, CA 92201
3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903
2600 Redondo Ave
Ste 405
Long Beach, CA 90806
Phone (562) 981-6101
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
8283 Grove Ave
Ste 101
Rch Cucamonga, CA 91730
Phone (909) 982-8638
372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110
1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800
300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
Organizations & group practices 12
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.
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
dba Adventist Health Reedley
- General Acute Care Hospital
- Reedley, CA
- NPI 1336167550
-
dba Tulare Regional Medical Center
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
-
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1659456499
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1528099488
-
- Vascular-Interventional Technology Radiologic Technologist
- Encino, CA
- NPI 1942350889
-
dba Burbank Imaging Center
- Diagnostic Radiology Physician
- Burbank, CA
- NPI 1366766180
-
dba Adventist Health Reedley
- Rural Health Clinic/Center
- Earlimart, CA
- NPI 1821699620
-
- Diagnostic Radiology Physician
- Sebring, FL
- NPI 1518299957
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
dba Adventist Health Reedley
- General Acute Care Hospital
- Reedley, CA
- NPI 1336167550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1326098070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 WARNER AVE",
"address_2": "SUITE 151",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926494659",
"telephone_number": "714-717-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 WARNER AVE",
"address_2": "SUITE 151",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926494659",
"telephone_number": "714-717-7154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUDERS",
"first_name": "STUART",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "C39838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C398380",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.