NPIMap

Individual provider Active NPI

Dale Kenneth Jamison, MD

  • Diagnostic Neuroimaging (Radiology) Physician
  • Stanford, CA
National Provider Identifier
1912392887
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
License
A166971 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X A166971 CA
Diagnostic Radiology Physician 2085R0202X R75875 AZ
Diagnostic Radiology Physician 2085R0202X A166971 CA
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X A166971 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210615002948 CA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 4688969066 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

Pismo Beach, CA 93449
Phone (805) 461-7080

1154 E Grand Ave
Arroyo Grande, CA 93420-2583
Phone (805) 395-3277

262 Posada LN
Templeton, CA 93465-4057
Phone (805) 434-1491

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

77 Casa St
Suite 102
San Luis Obispo, CA 93405-5804
Phone (805) 546-7733

Hospital & facility affiliations

  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R75875AZMDDiagnostic Radiology Physician
A166971CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Diagnostic Radiology CurrentSince Jun 7, 2021 Accepting new patients
Stanford Health Care Diagnostic Radiology Current Accepting new patients
Stanford Health Care CurrentSince Jun 7, 2021 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Jun 7, 2021 Accepting new patients
Radiology Associates of San Luis Obispo, a Medical Group Inc Diagnostic Radiology CurrentSince May 29, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2025 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2025 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

77 Casa St
Ste 102
Sn Luis Obisp, CA 93405
Phone (805) 546-7698

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1912392887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "DALE",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "A166971",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "R75875",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A166971",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "CA",
            "license": "A166971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.