Stephen A Fine, MD
Individual provider Active NPI Diagnostic Radiology Physician · Washington, DC
NPI 1497745194 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1497745194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- D0057185 (MD)
- Practice address
- 1145 19TH St NW
Suite 205
Washington, DC 20036-3701 - Phone
- (301) 279-4490
- Fax
- (301) 279-4489
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Massachusetts Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Renaissance Imaging Medical Associates Inc
Golden State Imaging Associates Inc
Practice addresses (Care Compare)
1012 E Capitol St NE
Washington, DC 20003-3906
Phone (818) 435-1433
825 N 10TH St
Santa Paula, CA 93060-1309
Phone (818) 639-2901
9712 W Bexhill Dr
Kensington, MD 20895-3530
Phone (818) 639-2901
Hospital & facility affiliations
- Antelope Valley Hospital
- Providence Saint Joseph Medical Ctr
- Northridge Hospital Medical Center
- St Mary Medical Center
- Valley Presbyterian Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101123000231 | DC | Practitioner - Diagnostic Radiology | 6305814575 | Reassigns benefits to 2 organizations |
| I20241002000223 | CA | Practitioner - Diagnostic Radiology | 6305814575 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Antelope Valley Outpatient Imaging Center, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Silicon Valley Diagnostic Imaging, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current |
Accepting new patients |
Locations
501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800
17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
500 S Virgil Ave
Ste 102
Los Angeles, CA 90020
Phone (323) 375-3950
815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
2400 E 4th St
National City, CA 91950
Phone (619) 470-4141
18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331
18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211
825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600
501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511
4100 Guardian St
Ste 205
Simi Valley, CA 93063
Phone (805) 522-5940
2626 N California St
Ste B
Stockton, CA 95204
Phone (209) 466-2626
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
2 Dole Dr
Westlake Village, CA 91362
Phone (310) 208-3100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D0057185 | MD | Yes |
Addresses
Primary practice location
1145 19TH St NW
Suite 205
Washington, DC 20036-3701
Mailing address
PO Box 4196
Columbus, GA 31914-0196
Phone (301) 279-4490
Other providers in Washington, DC
- Danielle Fincher
- Tierra Siesa Fincher
- Finding My Peace, P.C.
- Alexandra Megan Fine
- Bryan R Fine
- Harvey V Fineberg
- Frederick Finelli
- Nicholas Robert Finelli
- Finest Health Services Inc
- Lori M Fingerhut
All providers in Washington, DC · Diagnostic Radiology Physician in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.