Individual provider Active NPI

James Christopher Stapakis, MD

  • Diagnostic Radiology Physician
  • Wildomar, CA
National Provider Identifier
1376519462
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G78426 Issued in CA
Practice address
36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595-7512
Phone
(951) 600-3811
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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 G78426 CA Primary

Addresses

Primary practice location

36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595-7512

Mailing address

Dept la 21693
Pasadena, CA 91185-1693
Phone (858) 564-1400

Other identifiers 2

IdentifierTypeStateIssuer
00G784260OtherCABCBS
00G784260MedicaidCA

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
I20040518001502 CA Practitioner - Diagnostic Radiology 4486645660 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78426CAMDPharmacist
G78426CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince Dec 25, 2023 Accepting new patients

Locations

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1376519462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21693",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851693",
            "telephone_number": "858-564-1400",
            "fax_number": "858-564-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR",
            "address_2": "STE 101",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-600-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPAKIS",
        "first_name": "JAMES",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G78426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00G784260",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G784260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

Verify at the official NPI Registry.