Individual provider Active NPI

Jason Fisher, MD

  • Diagnostic Radiology Physician
National Provider Identifier
1720412943
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29129 Issued in MS
Practice address
48TH Med Group/Raf Lakenheath
Apo, AE 09461
Phone
(314) 226-8400
NPI assigned
Aug 23, 2013
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29129 MS Primary

Addresses

Primary practice location

48TH Med Group/Raf Lakenheath
Apo, AE 09461

Mailing address

48TH MDG
Raf Lakenheath
Apo, AE 09461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, CA2 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
I20211210001375 MS Practitioner - Diagnostic Radiology 5496145104 Reassigns benefits to 9 organizations
I20220216001868 CA Practitioner - Diagnostic Radiology 5496145104 Reassigns benefits to 13 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Jan 5, 2023 Accepting new patients
County of Monterey Behavioral Health CurrentSince Oct 13, 2022 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jan 31, 2022 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
County of Monterey CurrentSince Oct 13, 2022 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
West Valley Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince May 25, 2024 Accepting new patients
Central Valley Imaging Medical Associates, Inc Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Adventist Health Medical Center Tehachapi General Practice CurrentSince Jun 1, 2022 Accepting new patients
County of Los Angeles CurrentSince Jan 31, 2022 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Jun 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 5, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
County of San Joaquin CurrentSince May 25, 2022 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince Dec 25, 2023 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jun 1, 2022 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
San Joaquin Community Hospital CurrentSince Jun 1, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients
Medical Foundation, Inc. Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
County of Santa Clara CurrentSince Jan 5, 2023 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Nov 18, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Medical Foundation, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
San Joaquin Community Hospital CurrentSince Jun 1, 2022 Accepting new patients
County of San Joaquin CurrentSince May 25, 2022 Accepting new patients
County of Los Angeles Current Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Delta Radiology, Inc. CurrentSince Apr 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 5, 2023 Accepting new patients
Modesto Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 11, 2021 Accepting new patients
Delta Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Menalam Health Services PC Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Adventist Health Physicians Network General Practice Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
County of Monterey Past Accepting new patients
Advocate Sherman Hospital Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Rush Medical Foundation Past Accepting new patients

Locations (25 of 57)

5630 E Santa Ana Canyon Rd
Anaheim, CA 92807
Phone (714) 257-6170

8078 E Santa Ana Canyon Rd
Anaheim, CA 92808
Phone (714) 974-2900

2301 Bahamas Dr
Bakersfield, CA 93309

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

955 W Imperial Hwy
Brea, CA 92821
Phone (714) 449-6900

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

100 E Valencia Mesa Dr
Ste 108
Fullerton, CA 92835

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

1835 Sunny Crest Dr
Fullerton, CA 92835
Phone (714) 446-5101

2141 N Harbor Blvd
Ste 16000
Fullerton, CA 92835
Phone (714) 446-5600

2151 N Harbor Blvd
Ste 1400
Fullerton, CA 92835
Phone (417) 446-5600

2151 N Harbor Blvd
Ste 2100
Fullerton, CA 92835
Phone (714) 446-7181

2151 N Harbor Blvd
Ste 3100
Fullerton, CA 92835
Phone (530) 999-2533

2251 N Harbor Blvd
Fullerton, CA 92835
Phone (714) 449-6230

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

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

731 N Beach Blvd
Ste 175
La Habra, CA 90631
Phone (562) 697-6030

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

Organizations & group practices 47

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 47

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1720412943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "48TH MDG",
            "address_2": "RAF LAKENHEATH",
            "city": "APO",
            "state": "AE",
            "postal_code": "09461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "48TH MED GROUP/RAF LAKENHEATH",
            "city": "APO",
            "state": "AE",
            "postal_code": "09461",
            "telephone_number": "314-226-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-23",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "29129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.