Individual provider Active NPI

Stephen Israel Abedon, M.D.

  • Diagnostic Radiology Physician
  • Daly City, CA
National Provider Identifier
1689628687
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G70312 Issued in CA
Practice address
1900 Sullivan Ave
Daly City, CA 94015-2200
Phone
(650) 691-6503
Fax
(650) 991-6755
NPI assigned
May 22, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 G70312 CA Primary
Diagnostic Radiology Physician 2085R0202X 01091119A IN
Vascular & Interventional Radiology Physician 2085R0204X G70312 CA

Addresses

Primary practice location

1900 Sullivan Ave
Daly City, CA 94015-2200

Mailing address

PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-3418

Other practice location 1

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3264

Other practice location 2

600 Marine Blvd
Moss Beach, CA 94038-9641
Phone (650) 563-7100

Other practice location 3

91 Westborough Blvd Ste 1010
South San Francisco, CA 94080-3196
Phone (650) 589-8880

Other identifiers 2

IdentifierTypeStateIssuer
00G703120MedicaidCA
110247226OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080711000212 CA Practitioner - Diagnostic RadiologyPractitioner - General Practice 3173695889 Reassigns benefits to 12 organizations
I20240419000155 IN Practitioner - Diagnostic Radiology 3173695889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians
Greene County General HospitalGroup PAC ID 2961481544, shared by 10 NPIs, 102 clinicians
Advanced Radiology and Interventional Associates IncGroup PAC ID 2163816448, 99 clinicians
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
X-Ray Physicians of Shelbyville PCGroup PAC ID 2264420215, 43 clinicians
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians
Gainesville Radiology Group PCGroup PAC ID 9335046382, 65 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890

1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

212 Mount Shasta Dr
San Rafael, CA 94903-1081
Phone (260) 432-1568

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70312CAMDDiagnostic Radiology Physician
01091119AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince May 1, 2021 Accepting new patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Dec 15, 2024 Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
X-Ray Physicians of Shelbyville PC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Greene County General Hospital CurrentSince Aug 1, 2025 Accepting new patients
KC Tan, M.D. Medical Corporation Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Jan 7, 2025 Accepting new patients
San Mateo Dialysis Associates CurrentSince May 1, 2010 Accepting new patients
West Bay Nephrology Associates CurrentSince May 27, 2010 Accepting new patients
Advanced Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince May 18, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince May 1, 2021 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Jul 3, 2023 Accepting new patients
Henry County Memorial Hospital CurrentSince Feb 26, 2024 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Gainesville Radiology Group, PC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Greene County General Hospital Diagnostic Radiology CurrentSince Jul 31, 2025 Accepting new patients
Henry County Memorial Hospital CurrentSince Feb 26, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Radia Inc P S Diagnostic Radiology Past Accepting new patients
West Coast Kidney PastSince Sep 1, 2020 Accepting new patients

Locations (25 of 56)

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

1720 El Camino Real
Ste 118
Burlingame, CA 94010
Phone (650) 636-7850

1750 El Camino Real
Ste 15
Burlingame, CA 94010
Phone (650) 570-2273

15370 Fairfield Ranch Rd
#B2
Chino Hills, CA 91709
Phone (800) 723-6186

1498 Southgate Ave
#102
Daly City, CA 94015
Phone (650) 755-4490

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

901 Campus Dr
Ste 113
Daly City, CA 94015
Phone (650) 994-2595

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

450 Glass Ln
Ste C
Modesto, CA 95356

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17475/brand/1/csg/1/fhir/r4

Organizations & group practices 22

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 22

Hospital & facility affiliations 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1689628687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-3418",
            "fax_number": "415-883-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SULLIVAN AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152200",
            "telephone_number": "650-691-6503",
            "fax_number": "650-991-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3264",
            "fax_number": "765-983-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Marine Blvd",
            "address_purpose": "LOCATION",
            "city": "Moss Beach",
            "state": "CA",
            "postal_code": "940389641",
            "country_code": "US",
            "telephone_number": "650-563-7100",
            "fax_number": "650-728-5701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Westborough Blvd Ste 1010",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940803196",
            "country_code": "US",
            "telephone_number": "650-589-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABEDON",
        "first_name": "STEPHEN",
        "middle_name": "ISRAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G70312",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01091119A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G70312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G703120",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110247226",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.