Individual provider Active NPI

Mark Christopher Dowling, M.D.

  • Diagnostic Radiology Physician
  • Santa Rosa, CA
National Provider Identifier
1679537328
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G80355 Issued in CA
Practice address
3325 Chanate Rd
Santa Rosa, CA 95404-1707
Phone
(707) 576-4489
Fax
(707) 573-5213
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Diagnostic Radiology Physician 2085R0202X G80355 CA Primary

Addresses

Primary practice location

3325 Chanate Rd
Santa Rosa, CA 95404-1707

Mailing address

1115 Valdez Way
Fremont, CA 94539-3675
Phone (510) 651-1617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80355CAMDPharmacist
G80355CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Imaging Consultants, a Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Insight Health Corp. Diagnostic Radiology Past Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology Past Accepting new patients
Washington Radiologists Medical Group, Inc. Specialist Past Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Insight Health Corp Past Accepting new patients
Affiliates in Imaging, a Medical Group Inc Diagnostic Radiology Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1679537328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 VALDEZ WAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393675",
            "telephone_number": "510-651-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 CHANATE RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041707",
            "telephone_number": "707-576-4489",
            "fax_number": "707-573-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWLING",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G80355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.