Active NPI
Radia California Radiology Medical Group Inc
Doing business as Radia California
- Diagnostic Radiology Physician
- Santa Rosa, CA
National Provider Identifier
1740982032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIA CALIFORNIA RADIOLOGY MEDICAL GROUP INC
- Doing business as
- Radia California
- Practice address
- 121 Sotoyome St
Santa Rosa, CA 95405-4823 - Phone
- (425) 563-1500
- Fax
- (425) 563-1501
- NPI assigned
- Mar 20, 2023
- Last updated
- Apr 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lloyd E Stambaugh, MD
- Title
- President
- Phone
- (425) 563-1500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
121 Sotoyome St
Santa Rosa, CA 95405-4823
Mailing address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other names 1
- Radia California
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, MA, FL, CA, UT, HI, TX, NV, DC, NY, CO, MI, WA, NE, AL, SC, NC, MO, PA, OR, NJ, IN, OH, GA, MT, OK, ME, IL
Enrollment records 28
National Provider Directory
National Provider DirectoryLocations
121 Sotoyome St
Fl 2
Santa Rosa, CA 95405
383 Kalaimoku St
#D2708
Honolulu, HI 96815
200 NE Mother Joseph Pl
Ste 420
Vancouver, WA 98664
Phone (360) 514-1234
Practitioners & affiliated clinicians
Practitioners 161
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1568440089
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1164879177
-
- Vascular & Interventional Radiology Physician
- Glendale, CA
- NPI 1619935590
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Santa Rosa, CA
- NPI 1114978210
-
- Diagnostic Radiology Physician
- Santa Barbara, CA
- NPI 1598764193
-
- Vascular & Interventional Radiology Physician
- Los Angeles, CA
- NPI 1497056105
-
- Diagnostic Radiology Physician
- Stanford, CA
- NPI 1326303736
-
- Diagnostic Radiology Physician
- Santa Rosa, CA
- NPI 1689681181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681084800000",
"number": "1740982032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 33RD AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SOTOYOME ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054823",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIA CALIFORNIA RADIOLOGY MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-20",
"last_updated": "2023-04-10",
"certification_date": "2023-04-07",
"status": "A",
"authorized_official_last_name": "STAMBAUGH",
"authorized_official_first_name": "LLOYD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-563-1500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Radia California",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Radia California",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.