Active NPI
Steven G Imbesi, M.D.
- Neuroradiology Physician
- San Diego, CA
National Provider Identifier
1891710554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- G79078
- Practice address
- 200 W Arbor Dr
Mail Code 8756
San Diego, CA 92103-9001 - Phone
- (619) 543-6768
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | G79078 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | G79078 | CA |
Addresses
Primary practice location
200 W Arbor Dr
Mail Code 8756
San Diego, CA 92103-9001
Mailing address
200 W Arbor Dr
Mail Code 8756
San Diego, CA 92103-9001
Phone (619) 543-6768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G790780 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G79078 | CA | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Univ of Penn Community Radiology | Neuroradiology | Past | Accepting new patients |
| Trustees of the University of Pennsylvania | Family Medicine | Past | Accepting new patients |
| Regents of the University of California | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1124882949
Family Medicine
-
- Diagnostic Radiology Physician
- Wayne, PA
- NPI 1740293232
Neuroradiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1891710554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"address_2": "MAIL CODE 8756",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039001",
"telephone_number": "619-543-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"address_2": "MAIL CODE 8756",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039001",
"telephone_number": "619-543-6768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMBESI",
"first_name": "STEVEN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "G79078",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G79078",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G790780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.