Individual provider Active NPI

Courtney Cecile Carter, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1740212372
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A81990 Issued in CA
Practice address
4730 Avion Way
San Diego, CA 92115
Phone
(855) 687-7237
Fax
(855) 673-9190
NPI assigned
Jul 6, 2006
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A81990 CA Primary
Diagnostic Radiology Physician 2085R0202X 0101265908 VA

Addresses

Primary practice location

4730 Avion Way
San Diego, CA 92115

Mailing address

22100 Bothell Everett Hwy
Bothell, WA 98021-8431
Phone (208) 416-2932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 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
I20060829000506 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2567466816 Reassigns benefits to 22 organizations
I20251222002264 PA Practitioner - Diagnostic Radiology 2567466816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
George Washington University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians
Florida Radiology Associates LLCGroup PAC ID 2769829522, 74 clinicians
Pennsylvania Radiology Associates PCGroup PAC ID 4385170810, 48 clinicians
Radiology Associates of North Carolina PCGroup PAC ID 8628507811, 36 clinicians

Practice addresses (Care Compare)

11357 Via Playa de Cortes
San Diego, CA 92124-1527
Phone (469) 757-1042

300 Evergreen Dr
Suite 210
Glen Mills, PA 19342-1059
Phone (610) 579-3500

4730 Avion Way
San Diego, CA 92115-1004
Phone (469) 757-1042

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81990CAMDDiagnostic Radiology Physician
0101265908VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Apr 30, 2025 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Wayne Radiologists P a CurrentSince Dec 1, 2020 Accepting new patients
Scott County Community Hospital, Inc. CurrentSince Jul 26, 2024 Accepting new patients
Direct Radiology PLLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Pennsylvania Radiology Associates PC Diagnostic Radiology CurrentSince Jul 29, 2025 Accepting new patients
Oroville Hospital Current Accepting new patients
Boise Ultrasound Company LLP CurrentSince Apr 28, 2021 Accepting new patients
Tennessee Valley Radiology LLC Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Memorial Hospital of Converse County CurrentSince Dec 1, 2024 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Alaska Native Tribal Health Consortium Current Accepting new patients
Columbus Radiology Physicians LLC Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Mercy Diagnostic Imaging PC Diagnostic Radiology CurrentSince Jul 14, 2024 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince May 23, 2025 Accepting new patients
Jaid Gorban CurrentSince Oct 1, 2013 Accepting new patients
Eastern Radiological Associates PC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
CMSC, LLC CurrentSince Feb 5, 2024 Accepting new patients
Acadiana Radiology Group Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
Oroville Hospital CurrentSince Dec 6, 2018 Accepting new patients
Simi Radiology and Imaging Medical Group Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince May 1, 2019 Accepting new patients
X-Ray Professional Association Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
University of Chicago CurrentSince Jun 8, 2023 Accepting new patients
Radiology Associates of North Carolina PC Diagnostic Radiology CurrentSince Apr 14, 2025 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Nov 20, 2025 Accepting new patients
Modesto Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
Sutter Gould Medical Foundation Past Accepting new patients
Carilion Medical Center Past Accepting new patients
MCHS Hospitals, Inc. Past Accepting new patients
MCHS Hospitals Inc Past Accepting new patients
Lubbock Heritage Hospital, LLC. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD Past Accepting new patients
MCHS Hospitals Inc Past Accepting new patients
The Lowell General Hospital Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Asante Three Rivers Medical Center LLC Past Accepting new patients
Alexian Brothers Medical Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Swedishamerican Hospital Past Accepting new patients
Pco PC Diagnostic Radiology Past Accepting new patients
Virtual Radiologic Professionals of California, P.a Diagnostic Radiology Past Accepting new patients
MCHS Hospitals Inc Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
St. Luke's Magic Valley Regional Medical Center, LTD. Past Accepting new patients
MCHS Hospitals Inc Past Accepting new patients
MCHS Hospitals Inc Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

3900 Geer Rd
#1112
Turlock, CA 95382
Phone (209) 669-0600

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

2900 12th Ave N
Ste 4E
Billings, MT 59101
Phone (406) 245-6378

1648 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 556-4649

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

14 Maple St
Ste 100
Gilford, NH 03249
Phone (603) 524-4220

14 Maple St
Ste 200
Gilford, NH 03249
Phone (603) 737-6755

724 N Main St
Laconia, NH 03246
Phone (603) 524-5151

734 N Main St
Laconia, NH 03246
Phone (603) 527-1855

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7433

30 Lawrence Rd
Ste 300
Broomall, PA 19008
Phone (484) 446-3611

300 Evergreen Dr
Ste 210
Glen Mills, PA 19342
Phone (610) 566-9400

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300

22100 Bothell Everett Hwy
Bothell, WA 98021

Interoperability endpoints

  • Direct secure messaging: ccarter@direct.anthc.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

Organizations & group practices 55

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 55

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1740212372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218431",
            "telephone_number": "208-416-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 AVION WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92115",
            "telephone_number": "855-687-7237",
            "fax_number": "855-673-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "COURTNEY",
        "middle_name": "CECILE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A81990",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101265908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.