NPIMap

Organization Active NPI

Stanton H. Joe, M.D., a Professional Corporation

Doing business as Southern California Radiology Medical Group, a Prof. Corp.

  • Radiology Clinic/Center
  • Glendale, CA
National Provider Identifier
1497935266
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
G22872 Issued in CA
Legal business name
STANTON H. JOE, M.D., A PROFESSIONAL CORPORATION
Doing business as
Southern California Radiology Medical Group, a Prof. Corp.
Practice address
1809 Verdugo Blvd
Suite 100
Glendale, CA 91208-1402
Phone
(818) 790-9300
Fax
(818) 790-4564
NPI assigned
Nov 9, 2007
Last updated
Feb 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Dr. Stanton Henry Joe, M.D.NPI 1255494159
Title
Radiologist
Phone
(818) 790-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X G22872 CA Primary

Addresses

Primary practice location

1809 Verdugo Blvd
Suite 100
Glendale, CA 91208-1402

Mailing address

1809 Verdugo Blvd
Suite 100
Glendale, CA 91208-1402
Phone (818) 790-9300

Other names 1

  • SOUTHERN CALIFORNIA RADIOLOGY MEDICAL GROUP, A PROF. CORP. Doing business as

National Provider Directory

National Provider Directory

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 & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1497935266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081402",
            "telephone_number": "818-790-9300",
            "fax_number": "818-790-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081402",
            "telephone_number": "818-790-9300",
            "fax_number": "818-790-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON H. JOE, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "JOE",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "818-790-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "G22872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN CALIFORNIA RADIOLOGY MEDICAL GROUP, A PROF. CORP.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.