Individual provider Active NPI

Edward N Nagel, MD

  • Pediatric Radiology Physician
  • Madera, CA
National Provider Identifier
1841461621
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
A117216 Issued in CA
Practice address
9300 Valley Childrens PL
Madera, CA 93636-8761
Phone
(559) 485-8330
Fax
(559) 485-6994
NPI assigned
Mar 19, 2008
Last updated
Jul 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X A117216 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL
Madera, CA 93636-8761

Mailing address

1504 N Wishon Ave
Fresno, CA 93728-1827
Phone (559) 485-8330

Other identifiers 1

IdentifierTypeStateIssuer
A117216OtherCAMEDICAL LICENSE

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
I20161109001098 CA Practitioner - Diagnostic Radiology 5294014510 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wishon Radiological Medical Group IncGroup PAC ID 8022065036, 13 clinicians

Practice addresses (Care Compare)

9300 Valley Childrens PL
Madera, CA 93636-8761
Phone (559) 353-5917

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117216CAMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging CurrentSince Jul 7, 2018 Accepting new patients
Stockton Diagnostic Imaging CurrentSince Mar 14, 2018 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Mar 14, 2018 Accepting new patients
Wishon Radiological Medical Group, Inc. Pediatric Radiology CurrentSince Sep 27, 2016 Accepting new patients
Pronet Imaging Medical Group, Inc. CurrentSince Mar 14, 2018 Accepting new patients
Radnet Medical Imaging-San Francisco CurrentSince Mar 14, 2018 Accepting new patients
Desert Advanced Imaging Medical Center CurrentSince Mar 14, 2018 Accepting new patients
Fresno Imaging Center CurrentSince Mar 14, 2018 Accepting new patients
Santa Rosa Imaging Medical Center CurrentSince Mar 14, 2018 Accepting new patients
Diagnostic Radiological Imaging CurrentSince Mar 14, 2018 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center CurrentSince Mar 14, 2018 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Mar 14, 2018 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Mar 14, 2018 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Mar 14, 2018 Accepting new patients
Trinity Home Health Services Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations (25 of 36)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

1504 N Wishon Ave
Fresno, CA 93728
Phone (559) 272-2933

5765 N Fresno St
Ste 105
Fresno, CA 93710
Phone (559) 389-0622

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

7202 N Millbrook Ave
Fresno, CA 93720
Phone (559) 450-2662

7202 N Millbrook Ave
Ste 206
Fresno, CA 93720
Phone (559) 450-2300

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

25395 Hancock Ave
Ste 110
Murrieta, CA 92562
Phone (951) 696-4230

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1841461621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 N WISHON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937281827",
            "telephone_number": "559-485-8330",
            "fax_number": "559-485-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-485-8330",
            "fax_number": "559-485-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "EDWARD",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "A117216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A117216",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.