Delta Radiology Medical Group Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DELTA RADIOLOGY MEDICAL GROUP INC

Practice address

10200 Trinity Pkwy
# 204
Stockton, CA 95219-7286

Phone

(209) 473-3316

Fax

(209) 473-1492

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Terry Goldberg

Title

Ceo

Phone

(209) 365-2539

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Delta Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Lodi, CA
  • NPI 1043229271

  O20041013000834

  Same enrollment
• Delta Radiology Medical Group, Inc.

  • Specialist
  • San Francisco, CA
  • NPI 1366567463

  O20041013000834

  Same enrollment
• Delta Radiology Medical Group, Inc.

  • Specialist
  • Stockton, CA
  • NPI 1457476558

  O20041013000834

  Same enrollment
• Delta Radiology Medical Group, Inc.

  • Specialist
  • Stockton, CA
  • NPI 1568587665

  O20041013000834

  Same enrollment
• Delta Radiology Medical Group, Inc.

  • Specialist
  • Stockton, CA
  • NPI 1659496750

  O20041013000834

  Same enrollment
• Delta Radiology, Inc.

  • Specialist
  • Lodi, CA
  • NPI 1548385644

  O20041013000834

  Same enrollment
• Delta Radiology, Inc.

  • Specialist
  • Lodi, CA
  • NPI 1740305846

  O20041013000834

  Same enrollment
• Delta Radiology, Inc.

  • Specialist
  • Lodi, CA
  • NPI 1881728327

  O20041013000834

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lodi Memorial Hospital Association, Inc

  • Primary Care Clinic/Center
  • Lodi, CA
  • NPI 1225285695

  Member Of

  NPD member

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1639499239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15498",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958510498",
            "telephone_number": "559-455-4053",
            "fax_number": "559-455-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 TRINITY PKWY",
            "address_2": "# 204",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197286",
            "telephone_number": "209-473-3316",
            "fax_number": "209-473-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA RADIOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-365-2539"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Health Care and Managment Services Corp.
• Delta Heart & Medical Clinic, Inc.
• Delta Housing Solutions, LLC
• Delta Pathology Associates Medical Group Inc
• Delta Podiatry Group, Inc.
• Delta Radiology Medical Group, Inc.
• Delta Radiology Medical Group, Inc.
• Delta Radiology Medical Group, Inc.
• Delta Radiology Medical Group, Inc.
• Delta Radiology Medical Group, Inc.

• Diagnostic Radiology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.