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

Last updated

Jun 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Howard G. Berger, M.D.

Title

President

Phone

(310) 445-2800

Specialties & licenses 1

Addresses

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

Member of 2

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

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)…

Practitioners 260

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arleen Aziz, MD

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1720642382
  Medicare reassignment Care Compare group NPD
• Michael W. Brown, MD

  • Vascular & Interventional Radiology Physician
  • Sacramento, CA
  • NPI 1184702847
  Medicare reassignment Care Compare group NPD
• Patrick David Browning, M.D.

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1780691287
  Medicare reassignment Care Compare group NPD
• Michael Courtney Dumars, M.D.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1154345239
  Medicare reassignment Care Compare group NPD
• James Allen Engelhart, MD

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1649222480
  Medicare reassignment Care Compare group NPD
• Charles E. Fiske, M.D.

  • Radiation Oncology Physician
  • Oakland, CA
  • NPI 1013900331
  Medicare reassignment Care Compare group NPD
• Hollie Gallagher-Zate, DO

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

  AZ

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

  • Nuclear Radiology Physician
  • Fresno, CA
  • NPI 1750523031
  Medicare reassignment Care Compare group NPD
• Sidharth Handa, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1538514831
  Medicare reassignment Care Compare group NPD
• Francis Isidoro, M.D.

  • Nuclear Imaging & Therapy Physician
  • Stockton, CA
  • NPI 1548328933
  Medicare reassignment Care Compare group NPD
• William M. Kelly, M.D.

  • Diagnostic Neuroimaging (Radiology) Physician
  • Palm Desert, CA
  • NPI 1114952165
  Medicare reassignment Care Compare group NPD
• Michael Shou Kobayashi, MD

  • Diagnostic Radiology Physician
  • Stockton, CA
  • NPI 1831317684
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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 Circle of Friends Adult Programs
• Stockton Congregational Homes (Plymouth Square)
• Stockton Congregational Homes (Plymouth Square)
• Stockton Dental Group
• Stockton Detox Center
• Stockton Edison Healthcare Corporation (Good Samaritan Rehab & Care Center)
• Stockton Endoscopy Center LLC
• Stockton Family Therapy, Professional Corporation
• Stockton Hand Therapy & Rehabilitation
• Stockton Hand Therapy & Rehabilitation

• Diagnostic Radiology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• 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.