Individual provider Active NPI

Justin Aaron Siegal, MD

  • Diagnostic Radiology Physician
  • Oakland, CA
National Provider Identifier
1639184518
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C168787 Issued in CA
Practice address
747 52ND St
Oakland, CA 94609-1809
Phone
(510) 428-3000
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00042038 WA
Diagnostic Radiology Physician 2085R0202X C168787 CA Primary
Diagnostic Radiology Physician 2085R0202X M-12982 ID
Neuroradiology Physician 2085N0700X MD00042038 WA
Neuroradiology Physician 2085N0700X C168787 CA
Neuroradiology Physician 2085N0700X M-12982 ID

Addresses

Primary practice location

747 52ND St
Oakland, CA 94609-1809

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other practice location 2

19020 33rd Ave W
Suite 210
Lynnwood, WA 98036-4746
Phone (425) 563-1500

Other identifiers 7

IdentifierTypeStateIssuer
US7398683OtherWAAETNA/USHS PIN
234770OtherWALNI-KING COUNTY
341472OtherWALNI OUTSIDE KING COUNTY
1639184518OtherMTMONTANA DSHS
0039587OtherWAL&I
3445SIOtherWAREGENCE
1015172MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, CA, MI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20060905000295 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional RadiologyPractitioner - Other (Physician) 0143224196 Reassigns benefits to 23 organizations
I20160105001561 ID Practitioner - Diagnostic Radiology 0143224196 Reassigns benefits to 1 organization
I20250313001631 CA Practitioner - Diagnostic Radiology 0143224196 Reassigns benefits to 3 organizations
I20250611002565 MI Practitioner - Diagnostic Radiology 0143224196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
South Sound Radiologists Inc P SGroup PAC ID 1254229305, 76 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians

Practice addresses (Care Compare)

Edmonds, WA 98026
Phone (501) 664-3914

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

1229 Madison St
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

18100 NE Union Hill Rd
Redmond, WA 98052-3330
Phone (425) 498-2030

21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

509 N 71St St
Seattle, WA 98103-5126
Phone (425) 563-1500

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

916 Pacific Ave
Everett, WA 98201-4147
Phone (425) 258-7695

947 Broadway E
Seattle, WA 98102-4528
Phone (541) 618-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-12982IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jul 7, 2015 Accepting new patients
Swedish Health Services CurrentSince Nov 29, 2018 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Oct 12, 2018 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jun 11, 2015 Accepting new patients
Swedish Health Services CurrentSince Nov 29, 2018 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jul 7, 2015 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Wenatchee Valley Hospital CurrentSince Apr 1, 2015 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jun 11, 2015 Accepting new patients
Optum Care Washington PLLC CurrentSince Feb 6, 2024 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Sep 13, 2022 Accepting new patients
Msu Health Care Inc. CurrentSince Jun 1, 2025 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2022 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jul 7, 2015 Accepting new patients
Optum Care Washington PLLC Current Accepting new patients
County of Santa Clara CurrentSince Mar 6, 2025 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Msu Health Care Inc. Neuroradiology CurrentSince Jun 1, 2025 Accepting new patients
Swedish Health Services CurrentSince Sep 1, 2020 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Aug 7, 2023 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 9, 2020 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Mar 6, 2025 Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Sep 13, 2022 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 9, 2020 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Optum Care Washington PLLC CurrentSince Feb 6, 2024 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Redwood Radiology Group Inc Diagnostic Radiology CurrentSince May 19, 2023 Accepting new patients
Swedish Health Services CurrentSince Sep 1, 2020 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients

Locations (25 of 58)

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

11570 Indian Hills Rd
Mission Hills, CA 91345
Phone (800) 378-5597

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

19950 Rinaldi St
Ste 101B
Porter Ranch, CA 91326
Phone (818) 496-7517

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

26357 McBean Pkwy
Ste 155
Santa Clarita, CA 91355
Phone (661) 288-5940

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

6580 Hembree Ln
Ste 270
Windsor, CA 95492
Phone (707) 838-2044

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

Organizations & group practices 41

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 41

Hospital & facility affiliations 7

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1639184518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19020 33rd Ave W",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980364746",
            "country_code": "US",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGAL",
        "first_name": "JUSTIN",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00042038",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C168787",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-12982",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "MD00042038",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "C168787",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "ID",
            "license": "M-12982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHS PIN",
            "identifier": "US7398683",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-KING COUNTY",
            "identifier": "234770",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI OUTSIDE KING COUNTY",
            "identifier": "341472",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA DSHS",
            "identifier": "1639184518",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0039587",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "3445SI",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015172",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.