Organization Active NPI

Fresno Imaging Center

  • Diagnostic Radiology Physician
  • Fresno, CA
National Provider Identifier
1659456499
Registry record updated Dec 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FRESNO IMAGING CENTER
Practice address
6191 N Thesta St
Fresno, CA 93710-5266
Phone
(559) 447-2600
Fax
(559) 436-5213
NPI assigned
Oct 26, 2006
Last updated
Dec 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2007

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

Authorized official

Name
Dr. Howard G. Berger, MDNPI 1851479315
Title
President
Phone
(310) 445-2800

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
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

6191 N Thesta St
Fresno, CA 93710-5266

Mailing address

1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone (310) 445-2951

Other names 1

  • Thesta Advanced Imaging Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, OH, RI, FL, TN, AZ, OR, TX, IL, CO, MI, CT, NJ, NV, DC, ID, VA, NE, HI, WI, IN, WA, KY24 enrollments

Enrollment records 24

Enrollment IDStateProvider typePAC IDDetails
O20070724000813 CA Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 228 practitioners
Practice locations: Tarzana, CA; Yorba Linda, CA; Tustin, CA; Santa Monica, CA; San Marcos, CA; San Diego, CA; Reseda, CA; Pacific Palisades, CA…
O20200529000297 NY Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 4 practitioners
Practice locations: Hewlett, NY; New York, NY; Rye, NY; Victor, NY
O20221221003013 OH Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 1 practitioner
Practice locations: Loveland, OH
O20230131001093 RI Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, RI
O20230825002581 FL Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 6 practitioners
Practice locations: Fort Lauderdale, FL; Port St Lucie, FL; Ponte Vedra Beach, FL; Naples, FL; Jacksonville, FL; Aventura, FL
O20230825003067 TN Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 2 practitioners
Practice locations: College Grove, TN; Knoxville, TN
O20230831001484 AZ Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 13 practitioners
Practice locations: Chandler, AZ; Cave Creek, AZ; Scottsdale, AZ; Phoenix, AZ; Flagstaff, AZ; Mesa, AZ; Paradise Valley, AZ
O20231108001850 OR Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR; Jacksonville, OR
O20231205003554 TX Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 4 practitioners
Practice locations: Dallas, TX; San Antonio, TX; Spring, TX; Whitehouse, TX
O20240724003791 IL Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL; Vernon Hills, IL
O20241031001432 CO Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20250207000884 MI Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 3 practitioners
Practice locations: Royal Oak, MI; Ann Arbor, MI; Detroit, MI
O20250210001704 CT Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 3 practitioners
Practice locations: Greenwich, CT; Ridgefield, CT
O20250319000453 NJ Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 1 practitioner
Practice locations: Summit, NJ
O20250319001691 NV Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20250321001390 DC Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 2 practitioners
Practice locations: Bethesda, MD
O20250325003092 ID Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 6 practitioners
Practice locations: Boise, ID; Eagle, ID
O20250415001970 VA Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Allen, VA; Midlothian, VA
O20250823000435 NE Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 3 practitioners
Practice locations: Omaha, NE; Papillion, NE
O20250910004363 HI Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 2 practitioners
Practice locations: Kamuela, HI; Kihei, HI
O20251015000399 WI Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 2 practitioners
Practice locations: Fox Point, WI; Kewaunee, WI
O20251222003163 IN Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 1 practitioner
Practice locations: Carmel, IN
O20251230002618 WA Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 1 practitioner
Practice locations: Liberty Lake, WA
O20251231003301 KY Part B Supplier - Clinic/Group Practice 2466553128 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Member of 2

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

Locations

1840 S Stapley Dr
Ste 119
Mesa, AZ 85204
Phone (480) 256-2090

Practitioners & affiliated clinicians

Practitioners 301

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 301

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196553600000",
    "number": "1659456499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-447-2600",
            "fax_number": "559-436-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-12-02",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-445-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thesta Advanced Imaging",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2007; 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.