Modesto Advanced Diagnostic Imaging Medical Center

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MODESTO ADVANCED DIAGNOSTIC IMAGING MEDICAL CENTER

Practice address

157 E Coolidge Ave
Modesto, CA 95350-4504

Phone

(209) 524-6800

Fax

(209) 524-1286

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Howard G Berger, MD

Title

President

Phone

(310) 445-2800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MODESTO ADVANCED DIAG IMAGING MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA, RI, TX, OH, OR, AZ, ID, FL, TN, VA, CT, DC, IL, NY, NJ, NV, IA, MI, WI, NE20 enrollments

Enrollment records 20

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Breastlink Medical Group Inc

  • Surgery Physician
  • Orange, CA
  • NPI 1124689989

  Member Of

  NPD member
• Pronet Imaging Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1528099488

  Member Of

  NPD member

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 264

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Louis Alore, M.D.

  • Diagnostic Radiology Physician
  • Encino, CA
  • NPI 1962607697

  CA, Diagnostic Radiology, IL

  Medicare reassignment Care Compare group NPD
• Michael W. Brown, MD

  • Vascular & Interventional Radiology Physician
  • Sacramento, CA
  • NPI 1184702847

  CA

  Medicare reassignment Care Compare group NPD
• Patrick David Browning, M.D.

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1780691287

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Michael Courtney Dumars, M.D.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1154345239

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• James Allen Engelhart, MD

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1649222480

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Charles E. Fiske, M.D.

  • Radiation Oncology Physician
  • Oakland, CA
  • NPI 1013900331

  CA

  Medicare reassignment Care Compare group NPD
• Bonnie Dell Flannigan, MD

  • Diagnostic Neuroimaging (Radiology) Physician
  • Santa Monica, CA
  • NPI 1700834496

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Hollie Gallagher-Zate, DO

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1104269992

  AZ, CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Roy Gottlieb, D.O.

  • Diagnostic Radiology Physician
  • Thousand Oaks, CA
  • NPI 1760431902

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Aron Jay Gould-Simon, MD

  • Nuclear Radiology Physician
  • Fresno, CA
  • NPI 1750523031

  CA

  Medicare reassignment Care Compare group NPD
• Sidharth Handa, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1538514831

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Francis Isidoro, M.D.

  • Nuclear Imaging & Therapy Physician
  • Stockton, CA
  • NPI 1548328933

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1730133893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E COOLIDGE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504504",
            "telephone_number": "209-524-6800",
            "fax_number": "209-524-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESTO ADVANCED DIAGNOSTIC IMAGING MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-445-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0047560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ01347Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODESTO ADVANCED DIAG IMAGING MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• ML Wellness & Family Counseling, Inc
• Mobility Plus of California
• Navim Mobin, MD
• Modesto Acupuncture
• Modesto Adult Day Program Partners
• Modesto Anesthesia Medical Group
• Modesto Arts Medical Group, Inc.
• Modesto Chiropractic Center, a Rosen Family Corp.
• Modesto City Schools
• Modesto Dermatology and Skin Cancer PC

• All providers in Modesto, CA
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.