Stockton Diagnostic Imaging

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

STOCKTON DIAGNOSTIC IMAGING

Practice address

1801 E March LN Ste A130
Stockton, CA 95210-6650

Phone

(209) 475-9871

Fax

(209) 474-9620

NPI assigned

Sep 25, 2007

Organization subpart

No

Name

Dr. Howard G. Berger, M.D.

Title

President

Phone

(310) 445-2800

Organizations this organization is a member of, according to the National Provider Directory.

• Breastlink Medical Group Inc

  • Surgery Physician
  • Orange, CA
  • NPI 1124689989

  Member Of

  NPD member
• Pronet Imaging Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1528099488

  Member Of

  NPD member

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arleen Aziz, MD

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1720642382

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Michael W. Brown, MD

  • Vascular & Interventional Radiology Physician
  • Sacramento, CA
  • NPI 1184702847

  CA

  Medicare reassignment Care Compare group NPD
• Patrick David Browning, M.D.

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1780691287

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Michael Courtney Dumars, M.D.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1154345239

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• James Allen Engelhart, MD

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1649222480

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Charles E. Fiske, M.D.

  • Radiation Oncology Physician
  • Oakland, CA
  • NPI 1013900331

  CA

  Medicare reassignment Care Compare group NPD
• Hollie Gallagher-Zate, DO

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1104269992

  AZ, CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Aron Jay Gould-Simon, MD

  • Nuclear Radiology Physician
  • Fresno, CA
  • NPI 1750523031

  CA

  Medicare reassignment Care Compare group NPD
• Sidharth Handa, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1538514831

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Francis Isidoro, M.D.

  • Nuclear Imaging & Therapy Physician
  • Stockton, CA
  • NPI 1548328933

  CA

  Medicare reassignment Care Compare group NPD
• William M. Kelly, M.D.

  • Diagnostic Neuroimaging (Radiology) Physician
  • Palm Desert, CA
  • NPI 1114952165

  CA

  Medicare reassignment Care Compare group NPD
• Michael Shou Kobayashi, MD

  • Diagnostic Radiology Physician
  • Stockton, CA
  • NPI 1831317684

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD

Medicare fee-for-service enrollment

Enrolled in CA, NY, OH, FL, AZ, ID, OR, RI, TX, TN, VA, CT, IL, NJ, DC, MI, NV, IA, NE, WI, HI21 enrollments

Enrollment records 21

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 22, 2017.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1356538201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 PITTSFORD VICTOR RD",
            "address_2": "D-2",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343825",
            "telephone_number": "585-218-8007",
            "fax_number": "585-218-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE A130",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106650",
            "telephone_number": "209-475-9871",
            "fax_number": "209-474-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-445-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stockton Cardiology Medical Group Complete Heart Care Inc
• Stockton Circle of Friends Adult Programs
• Stockton Congregational Homes
• Stockton Congregational Homes
• Stockton Dental Group
• Stockton Edison Healthcare Corporation
• Stockton Endoscopy Center LLC
• Stockton Family Therapy, Professional Corporation
• Stockton Hand Therapy & Rehabilitation
• Stockton Hand Therapy & Rehabilitation

• All providers in Stockton, CA
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.