Stockdale Radiology Physician Services, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

STOCKDALE RADIOLOGY PHYSICIAN SERVICES, INC

Practice address

1020 Francisco St
San Francisco, CA 94109-1127

Phone

(661) 631-8000

Fax

(661) 631-8005

NPI assigned

Aug 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David Suadi, D.O.

Title

President

Phone

(661) 631-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Stockdale Radiology Physician Services, Inc

  • Diagnostic Radiology Physician
  • Ventura, CA
  • NPI 1710339833

  O20140429000939

  Same enrollment
• Stockdale Radiology Physicians Services, Inc

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1669806402

  O20140429000939

  Same enrollment
• Stockdale Radiology Physicians Services, Inc.

  • Diagnostic Radiology Physician
  • Manhattan Beach, CA
  • NPI 1760915607

  O20140429000939

  Same enrollment

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1487108403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 EMPIRE DR",
            "address_2": "SUITE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090441",
            "telephone_number": "661-361-8000",
            "fax_number": "661-631-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 FRANCISCO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941091127",
            "telephone_number": "661-631-8000",
            "fax_number": "661-631-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKDALE RADIOLOGY PHYSICIAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "SUADI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-631-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Irene Stiver, MD PHD
• Benjamin Daniel Stobbe-Buelow, M.D., PH.D.
• Eveline Oestreicher Stock, M.D.
• Isaiah Robert Stock
• Peter G. Stock, MD
• Jim M Stockton, PEER SUPPORT COUNS.
• Tonya Stoddard, A.S.W.
• Richard E Stoeckl Jr.
• Christopher Stoehr, MD
• Sylvia Stoffella

• Diagnostic Radiology Physician in San Francisco, CA
• Providers in San Francisco, 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 Aug 8, 2016; 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.