Courtney Cecile Carter, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · San Diego, CA
NPI 1740212372 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1740212372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- A81990 (CA)
- Practice address
- 4730 Avion Way
San Diego, CA 92115 - Phone
- (855) 687-7237
- Fax
- (855) 673-9190
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 55
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Diagnostic 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 LLC
Christiana Care Pennsylvania Inc
Florida Radiology Associates LLC
Pennsylvania Radiology Associates PC
Radiology Associates of North Carolina PC
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
- Iredell Memorial Hospital Inc
- Wooster Community Hospital
- Acmh Hospital
- Temple Health - Chestnut Hill Hospital
- Chan Soon- Shiong Medical Center at Windber
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060829000506 | CA | Practitioner - Diagnostic Radiology |
2567466816 | Reassigns benefits to 22 organizations |
| I20251222002264 | PA | Practitioner - Diagnostic Radiology | 2567466816 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81990 | CA | MD | Diagnostic Radiology Physician |
| 0101265908 | VA | MD | Diagnostic Radiology Physician |
| 81990 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Radiology Associates PC | Diagnostic Radiology | Current |
Accepting new patients |
| Tennessee Valley Radiology LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Direct Radiology PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Oroville Hospital | Current | Accepting new patients | |
| Modesto Radiological Medical Group, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Oroville Hospital | Current |
Accepting new patients | |
| Medical Imaging Associates of Idaho Falls, Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Radiology Associates of North Carolina PC | Diagnostic Radiology | Current |
Accepting new patients |
| Christiana Care Pennsylvania Inc | Current |
Accepting new patients | |
| Mercy Diagnostic Imaging PC | Diagnostic Radiology | Current |
Accepting new patients |
| Simi Radiology and Imaging Medical Group | Diagnostic Radiology | Current |
Accepting new patients |
| Wayne Radiologists, P.a. | Current |
Accepting new patients | |
| Jaid Gorban | Current |
Accepting new patients | |
| Medford Radiological Group, PC | Diagnostic Radiology | Current |
Accepting new patients |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Florida Radiology Associates LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Columbus Radiology Physicians LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University of Chicago | Current |
Accepting new patients | |
| Eastern Radiological Associates PC | Diagnostic Radiology | Current |
Accepting new patients |
| Boise Ultrasound Company LLP | Current |
Accepting new patients | |
| West Virginia Radiology Associates PC | Diagnostic Radiology | Current |
Accepting new patients |
| Memorial Hospital of Converse County | Current |
Accepting new patients | |
| X-Ray Professional Association | Diagnostic Radiology | Current |
Accepting new patients |
| Scott County Community Hospital, Inc. | Current |
Accepting new patients | |
| CMSC, LLC | Current |
Accepting new patients | |
| Acadiana Radiology Group | Diagnostic Radiology | Current |
Accepting new patients |
| Carilion Medical Center | Past | Accepting new patients | |
| Swedishamerican Hospital | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Lubbock Heritage Hospital, LLC. | Past | Accepting new patients | |
| The Lowell General Hospital | Past | Accepting new patients | |
| St Luke'S Magic Valley Regional Medical Center LTD | Past | Accepting new patients | |
| Sutter Gould Medical Foundation | Past | Accepting new patients | |
| MCHS Hospitals Inc | Past | Accepting new patients | |
| MCHS Hospitals Inc | Past | Accepting new patients | |
| Virtual Radiologic Professionals of California, P.a | Diagnostic Radiology | Past | Accepting new patients |
| Alexian Brothers Medical Center | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| Asante Three Rivers Medical Center LLC | Past | Accepting new patients | |
| MCHS Hospitals Inc | Past | Accepting new patients | |
| MCHS Hospitals, Inc. | Past | Accepting new patients | |
| MCHS Hospitals Inc | Past | Accepting new patients | |
| San Joaquin Community Hospital | Past | Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Enloe Medical Center | Past | Accepting new patients | |
| Pco PC | Diagnostic Radiology | 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 | |
| Windber Hospital, Inc. | 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 200
Gilford, NH 03249
Phone (603) 524-2852
14 Maple St
Ste 100
Gilford, NH 03249
Phone (603) 524-4220
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
734 N Main St
Laconia, NH 03246
Phone (603) 527-1855
724 N Main St
Laconia, NH 03246
Phone (603) 524-5151
238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464
30 Lawrence Rd
Ste 300
Broomall, PA 19008
Phone (302) 623-4530
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
- https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/
- ccarter@direct.anthc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A81990 | CA | Yes |
| 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
Other providers in San Diego, CA
- Charnita Deltrice Carter
- Chic Carter
- Christian Cook Carter
- Christoph C Carter
- Colby Brent Carter
- Danielle Carter
- Darlene Donna Carter I
- Deshawn Carter
- Frank Carter
- Guy Carter
All providers in San Diego, CA · Diagnostic Radiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.