Delta Radiology Medical Group, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DELTA RADIOLOGY MEDICAL GROUP, INC.

Practice address

2320 N California St
Suite 3
Stockton, CA 95204-5509

Phone

(209) 466-5028

Fax

(209) 466-5461

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Terry Goldberg

Title

Ceo

Phone

(209) 334-4416

Specialties & licenses 1

Addresses

Tax ID family

Delta Radiology Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Delta Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Stockton, CA
  • NPI 1013181411
  NPD tax ID

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1730353137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15498",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958510498",
            "telephone_number": "559-455-4000",
            "fax_number": "559-455-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N CALIFORNIA ST",
            "address_2": "SUITE 3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045509",
            "telephone_number": "209-466-5028",
            "fax_number": "209-466-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA RADIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-334-4416"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Radiology Medical Group Inc
• Delta Radiology Medical Group, Inc.
• Delta Radiology Medical Group, Inc.
• Delta Radiology Medical Group, Inc.
• Delta Radiology Medical Group, Inc.
• Delta Shores Surgery Center LLC
• Delta Transport Services, Inc.
• Douglas S Demartinis, MD
• Justine May Demello
• Susan Demotte

• Diagnostic Radiology Physician in Stockton, CA
• Providers in Stockton, 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 Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.