Eastern Sierra Radiology

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A22120 Issued in CA

Legal business name

EASTERN SIERRA RADIOLOGY

Practice address

150 Pioneer LN
Bishop, CA 93514-2556

Phone

(760) 873-2171

Fax

(626) 445-0302

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

John Willard Nesson, M.D.

Title

President

Phone

(626) 445-0004

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790798460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SANTA ANITA AVE",
            "address_2": "SUITE 9",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062863",
            "telephone_number": "626-445-0004",
            "fax_number": "626-445-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PIONEER LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142556",
            "telephone_number": "760-873-2171",
            "fax_number": "626-445-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SIERRA RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NESSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-445-0004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A22120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A221201",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ04744Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "A22120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Duvall, PT, DPT
• Matthew Walden Earhart, O.D., MED.
• Eastern Sierra Emergency Physicians, a Medical Partnership
• Eastern Sierra Nutrition and Lactation LLC
• Eastern Sierra Optometry
• Eastern Sierra Urology Prof Corp
• Alison Eddins, MA, CCC-SLP
• Heather Edwall, MSW
• James M. Eidel, MD
• Kirstie Eisenmann, MS

• Diagnostic Radiology Physician in Bishop, CA
• Providers in Bishop, 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 Aug 22, 2020; 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.