Active NPI
Michael W Kistler, M.D.
- Diagnostic Radiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G17434
- Practice address
- 501 Washington St
Ste 510
San Diego, CA 92103-2231 - Phone
- (619) 819-6501
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G17434 | CA | Primary |
Addresses
Primary practice location
501 Washington St
Ste 510
San Diego, CA 92103-2231
Mailing address
PO Box 910514
San Diego, CA 92191-0514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G174340 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NY, WA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.67 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 85.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G17434 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Central Valley Community Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Interfaith Professional Physician Services, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Riverside Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Open System MRI LLC | Diagnostic Radiology | Past | Accepting new patients |
| Open Air MRI Centers Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| J.Bruce Jacobs, M.D., Inc. | Diagnostic Radiology | Past | Accepting new patients |
| IHS Radiology Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Healthcare Specialists Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Physicians Radiology Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287
1770 Iowa Ave
Ste 280
Riverside, CA 92507
Phone (661) 948-4781
4510 Brockton Ave
Ste 175
Riverside, CA 92501
Phone (951) 786-5100
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
Organizations & group practices 13
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.
-
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1376637264
CO
-
- Diagnostic Radiology Physician
- Riverside, CA
- NPI 1699776526
CO
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
Diagnostic Radiology
-
- Clinic/Center
- Westport, WA
- NPI 1497510333
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1497148456
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1750498093
-
- Diagnostic Radiology Physician
- Rancho Mirage, CA
- NPI 1821041377
-
- Vascular & Interventional Radiology Physician
- San Diego, CA
- NPI 1164475174
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Chico, CA
- NPI 1598783052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1508811175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 910514",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921910514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WASHINGTON ST",
"address_2": "STE 510",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032231",
"telephone_number": "619-819-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTLER",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G17434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G174340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.