Individual provider Active NPI

John George Mardiat, M.D.

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
National Provider Identifier
1801896675
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G44393 Issued in CA
Practice address
316 W Junipero St
Santa Barbara, CA 93105-4305
Phone
(805) 448-5825
Fax
(805) 569-0079
NPI assigned
Jul 22, 2005
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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 G44393 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X G44393 CA

Addresses

Primary practice location

316 W Junipero St
Santa Barbara, CA 93105-4305

Mailing address

PO Box 30820
Santa Barbara, CA 93130-0820
Phone (805) 448-5825

Other identifiers 1

IdentifierTypeStateIssuer
00G443930MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000064 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4981648797 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Missouri, Kansas City, School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians

Practice addresses (Care Compare)

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G44393CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverwalk Medical Corporation Vascular & Interventional Radiology CurrentSince Feb 1, 2020 Accepting new patients
Riverwalk Medical Corporation CurrentSince Feb 1, 2020 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology PastSince Jan 14, 2023 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Tower Imaging Medical Centers, Inc. Diagnostic Radiology PastSince Feb 22, 2014 Accepting new patients

Locations

1817 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 325-6800

1818 16th St
Bakersfield, CA 93301
Phone (661) 616-1458

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

4500 Morning Dr
Ste 204
Bakersfield, CA 93306
Phone (407) 717-7823

5020 Commerce Dr
Bakersfield, CA 93309

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

9900 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 616-6306

9920 Brimhall Rd
Bakersfield, CA 93312

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

2202 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 264-9000

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

432 S Mill St
Tehachapi, CA 93561
Phone (661) 822-8223

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1801896675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30820",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931300820",
            "telephone_number": "805-448-5825",
            "fax_number": "805-569-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054305",
            "telephone_number": "805-448-5825",
            "fax_number": "805-569-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDIAT",
        "first_name": "JOHN",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G44393",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G44393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G443930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.