NPIMap

Individual provider Active NPI

Lee A Shratter, M.D.

  • Diagnostic Radiology Physician
  • Vallejo, CA
National Provider Identifier
1336175173
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G54056 Issued in CA
Practice address
300 Hospital Dr
Vallejo, CA 94589-2574
Phone
(925) 296-7156
Fax
(925) 296-7174
NPI assigned
Jun 23, 2006
Last updated
Feb 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G54056 CA Primary

Addresses

Primary practice location

300 Hospital Dr
Vallejo, CA 94589-2574

Mailing address

15 Lancaster Ave
Kentfield, CA 94904-1604
Phone (415) 453-7967

Other identifiers 1

IdentifierTypeStateIssuer
00G540560MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317001241 CA Practitioner - Diagnostic Radiology 6406746007 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

386 Gellert Blvd
Daly City, CA 94015-2611
Phone (415) 677-2320

845 Jackson St
San Francisco, CA 94133-4851
Phone (415) 677-2320

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Gate Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince May 16, 2016 Accepting new patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
Golden Gate Radiology Medical Group, Inc Diagnostic Radiology CurrentSince May 16, 2016 Accepting new patients
Hanford Community Hospital CurrentSince Apr 29, 2022 Accepting new patients
Adventist Health Tulare CurrentSince Nov 1, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology PastSince Mar 7, 1991 Accepting new patients
Alameda Health System Past Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

386 Gellert Blvd
Daly City, CA 94015
Phone (415) 677-2320

1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

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 10

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.

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1336175173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LANCASTER AVE",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041604",
            "telephone_number": "415-453-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892574",
            "telephone_number": "925-296-7156",
            "fax_number": "925-296-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRATTER",
        "first_name": "LEE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G54056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G540560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.