Stockdale Radiology Physician Services, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A72292 Issued in CA

Legal business name

STOCKDALE RADIOLOGY PHYSICIAN SERVICES, INC

Practice address

875 Weber Cir
# 201
Ventura, CA 93003-8252

Phone

(661) 631-8000

Fax

(661) 631-8005

NPI assigned

Jul 13, 2016

Last updated

Jul 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Suadi, D.O.NPI 1114911799

Title

President

Phone

(661) 631-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Stockdale Radiology Physician Services, Inc

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1487108403

  O20140429000939

  Same enrollment
• Stockdale Radiology Physicians Services, Inc

  dba Stockdale Radiology Physicians

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1669806402

  O20140429000939

  Same enrollment
• Stockdale Radiology Physicians Services, Inc.

  • Diagnostic Radiology Physician
  • Manhattan Beach, CA
  • NPI 1760915607

  O20140429000939

  Same enrollment

Practitioners 1

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.

• David Gregory Suadi, DO

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1114911799
  Authorized official Same address or phone

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1710339833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 EMPIRE DR",
            "address_2": "#100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090441",
            "telephone_number": "661-631-8000",
            "fax_number": "661-631-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WEBER CIR",
            "address_2": "# 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038252",
            "telephone_number": "661-631-8000",
            "fax_number": "661-631-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKDALE RADIOLOGY PHYSICIAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "SUADI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-631-8000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A72292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven M. Ruths, MD, Inc.
• Eliza Stevens, RBT
• Sarah Stevens
• William Russell Stewart Jr., CADC LL
• Derek Rockland Stiles
• Casey Christina Stockel, PA
• Paige Braithwaite Stoker, MA
• Amymarie Jessica Stone
• Julia Stone
• Shannon Stone, L.M.F.T.

• Diagnostic Radiology Physician in Ventura, CA
• Providers in Ventura, 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 Jul 13, 2016; 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.