Individual provider Active NPI

Stuart A. Souders, M.D.

  • Specialist
  • Huntington Beach, CA
National Provider Identifier
1326098070
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C39838 Issued in CA
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

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00C398380MedicaidCA

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
I20061101000608 CA Practitioner - Diagnostic Radiology 3173520210 Reassigns benefits to 9 organizations

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
Hanford Community HospitalGroup PAC ID 7416868377, 60 clinicians
Reedley Community HospitalGroup PAC ID 0941460984, 60 clinicians

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 100Reported as group
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C39838CAMDSpecialist
39838CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Tulare CurrentSince Nov 1, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
Fresno Imaging Center CurrentSince Jan 4, 2021 Accepting new patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jan 1, 2021 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Jan 1, 2021 Accepting new patients
Pronet Imaging Medical Group, Inc. CurrentSince Jan 4, 2021 Accepting new patients
Hanford Community Hospital CurrentSince Apr 29, 2022 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Jan 4, 2021 Accepting new patients
Golden State Imaging Associates Inc CurrentSince Feb 14, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.