Individual provider Active NPI

Nathan Thomas Mortensen, D.O.

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1679825400
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
24382 Issued in CA
Practice address
505 Parnassus Ave FL 3
San Francisco, CA 94143-2204
Phone
(415) 476-1537
Fax
(415) 476-0616
NPI assigned
Oct 3, 2012
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A87377 CA
Diagnostic Radiology Physician 2085R0202X 24382 CA Primary
Diagnostic Radiology Physician 2085R0202X DO187083 OR

Addresses

Primary practice location

505 Parnassus Ave FL 3
San Francisco, CA 94143-2204

Mailing address

550 University Blvd # 641
Indianapolis, IN 46202-5149
Phone (317) 944-1816

Other practice location 1

842 E Main St
Medford, OR 97504
Phone (541) 618-5825

Other identifiers 2

IdentifierTypeStateIssuer
500745314MedicaidOR
R202268OtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, UT, CA4 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
I20180529001294 OR Practitioner - Diagnostic Radiology 6305085663 Reassigns benefits to 9 organizations
I20250709003120 WA Practitioner - Diagnostic Radiology 6305085663 Reassigns benefits to 5 organizations
I20250916003174 UT Practitioner - Diagnostic Radiology 6305085663 Reassigns benefits to 5 organizations
I20251021003463 CA Practitioner - Diagnostic Radiology 6305085663 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians
Oregon Advanced Imaging LLCGroup PAC ID 3577465376, 14 clinicians

Practice addresses (Care Compare)

Sandy, UT 84092
Phone (425) 563-1500

11869 S October CV
Sandy, UT 84092-7338
Phone (323) 549-3030

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

278 Maple St
Ashland, OR 97520-1552
Phone (541) 773-2493

280 Maple St
Ashland, OR 97520-1552
Phone (541) 618-5800

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 618-5800

3821 Annettes Way
Medford, OR 97504-9668
Phone (541) 773-2493

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

414 E 4235
Washington, UT 84780-1767
Phone (425) 563-1500

4338 Vineyard Ter
Medford, OR 97504-9143
Phone (541) 773-2493

515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

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

881 O Hare Pkwy
Medford, OR 97504-4005
Phone (541) 608-0350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24382CAMDDental Hygienist
DO187083ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Swedish Health Services CurrentSince Sep 2, 2025 Accepting new patients
Oregon Advanced Imaging, LLC CurrentSince Jul 1, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 6, 2025 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Jun 25, 2025 Accepting new patients
Oregon Advanced Imaging, LLC CurrentSince Jul 1, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 6, 2025 Accepting new patients
Swedish Health Services CurrentSince Sep 2, 2025 Accepting new patients
University of California San Francisco CurrentSince Oct 6, 2025 Accepting new patients
Medford Radiological Group PC Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Swedish Health Services CurrentSince Sep 2, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Apr 9, 2025 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
University of California San Francisco CurrentSince Oct 6, 2025 Accepting new patients
Central Washington Health Services Association CurrentSince Jun 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Oct 1, 2025 Accepting new patients
Southern Oregon Neurosurgical & Spine Associates, PC CurrentSince Oct 1, 2025 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Apr 9, 2025 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Apr 9, 2025 Accepting new patients
County of Santa Clara CurrentSince Oct 1, 2025 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Norcal Healthconnect LLC Past Accepting new patients
Children's Hospital Los Angeles Past Accepting new patients
Wenatchee Valley Hospital PastSince Jan 1, 2023 Accepting new patients

Locations

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

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
Fl 3
San Francisco, CA 94143
Phone (415) 353-1968

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

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

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

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

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

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

2699 N 17th St
Coos Bay, OR 97420
Phone (541) 266-3600

1619 NW Hawthorne Ave
Ste 102
Grants Pass, OR 97526
Phone (541) 471-6033

2900 State St
Medford, OR 97504
Phone (541) 779-1672

842 E Main St
Medford, OR 97504
Phone (541) 773-7273

881 Ohare Pkwy
Medford, OR 97504
Phone (541) 622-6333

1200 112th Ave NE
Ste B250
Bellevue, WA 98004
Phone (206) 320-3494

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

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

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

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

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

515 Minor Ave
Ste 110
Seattle, WA 98104
Phone (206) 292-6233

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

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": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1679825400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD # 641",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "317-944-1816",
            "fax_number": "317-948-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-1537",
            "fax_number": "415-476-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 E Main St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "97504",
            "country_code": "US",
            "telephone_number": "541-618-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "NATHAN",
        "middle_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A87377",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "24382",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "DO187083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500745314",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R202268",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.