Active NPI
Stuart S. London MD,Inc
- Diagnostic Radiology Physician
- Oakland, CA
National Provider Identifier
1801997721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G270020
- Legal business name
- STUART S. LONDON MD,INC
- Practice address
- 3330 Telegraph Ave
Oakland, CA 94609-3028 - Phone
- (510) 420-8800
- Fax
- (510) 420-8069
- NPI assigned
- Sep 25, 2006
- 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. Stuart S London, M.D.
- Title
- President
- Phone
- (510) 420-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G270020 | CA | Primary |
Addresses
Primary practice location
3330 Telegraph Ave
Oakland, CA 94609-3028
Mailing address
3330 Telegraph Ave
Oakland, CA 94609-3028
Phone (510) 420-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G270020 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1801997721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093028",
"telephone_number": "510-420-8800",
"fax_number": "510-420-8069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093028",
"telephone_number": "510-420-8800",
"fax_number": "510-420-8069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART S. LONDON MD,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "LONDON",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-420-8800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G270020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G270020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.