Individual provider Active NPI

Brian Stewart Pugmire, M.D.

  • Pediatric Radiology Physician
  • San Diego, CA
National Provider Identifier
1609190578
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
A138998 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
Fax
(888) 539-8781
NPI assigned
Mar 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A138998 CA
Pediatric Radiology Physician 2085P0229X A138998 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410

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
I20161021002117 CA Practitioner - Diagnostic Radiology 0749449296 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wishon Radiological Medical Group IncGroup PAC ID 8022065036, 13 clinicians

Practice addresses (Care Compare)

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 541-3600

9300 Valley Childrens PL
Madera, CA 93636-8761
Phone (559) 353-5917

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.17

Merit-based Incentive Payment System (MIPS)

Final score
90.08 of 100Reported as group
Quality
82.75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138998CAMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wishon Radiological Medical Group, Inc. Pediatric Radiology CurrentSince Sep 5, 2016 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Current Accepting new patients
Regents of the University of California Ucsd Department of Radiology Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Pediatric Radiology Current Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Mar 14, 2018 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
San Diego Imaging, LLC CurrentSince Mar 1, 2023 Accepting new patients
Regents of the University of California Pediatric Radiology CurrentSince Jul 1, 2021 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Mar 14, 2018 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Pediatric Radiology CurrentSince Jul 1, 2021 Accepting new patients
San Diego Imaging-Chula Vista LLC CurrentSince Jul 1, 2021 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Regents of the University of California Past Accepting new patients
Fresno Imaging Center Diagnostic Radiology Past Accepting new patients

Locations

765 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 397-6577

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

5765 N Fresno St
Ste 105
Fresno, CA 93710
Phone (559) 389-0622

1504 N Wishon Ave
Fresno, CA 93728
Phone (559) 272-2933

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

7910 Frost St
Ste 100
San Diego, CA 92123
Phone (858) 634-5900

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

330 Lewis St
Ste 202
San Diego, CA 92103

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1609190578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGMIRE",
        "first_name": "BRIAN",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A138998",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "A138998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.