Active NPI
Florian H Ploch, MD
- Therapeutic Radiology Physician
- Vacaville, CA
National Provider Identifier
1356322705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- C-35122
- Practice address
- 1020 Nut Tree Rd
#190
Vacaville, CA 95687-4100 - Phone
- (707) 624-8100
- Fax
- (707) 624-8101
- NPI assigned
- Nov 10, 2005
- 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 |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | C-35122 | CA | Primary |
Addresses
Primary practice location
1020 Nut Tree Rd
#190
Vacaville, CA 95687-4100
Mailing address
1020 Nut Tree Rd
#190
Vacaville, CA 95687-4100
Phone (707) 624-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C351220 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-35122 | CA | MD | Therapeutic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1356322705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 NUT TREE RD",
"address_2": "#190",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956874100",
"telephone_number": "707-624-8100",
"fax_number": "707-624-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 NUT TREE RD",
"address_2": "#190",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956874100",
"telephone_number": "707-624-8100",
"fax_number": "707-624-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOCH",
"first_name": "FLORIAN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "CA",
"license": "C-35122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C351220",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.