DAVID LEONARD RODIBAUGH M.D. NPI 1083656508

NPI Information

NPI: 1083656508
Provider Name: DAVID LEONARD RODIBAUGH, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1100 N TUSTIN AVE
SANTA ANA, CA
ZIP 92705
Phone: (714) 835-6055
Get Directions

David Leonard Rodibaugh, M.D. is a diagnostic radiology radiology in Santa Ana, CA with 55 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. David Leonard Rodibaugh, M.D. NPI is 1083656508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1969

The provider's business location address is:

1100 N TUSTIN AVE
SANTA ANA, CA
ZIP 92705-509
Phone: (714) 835-6055
Fax: (714) 835-3287

The NPI 1083656508 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 5/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	C33122	CALIFORNIA	No
2	2085N0700X	Radiology	Neuroradiology	C33122	CALIFORNIA	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	C33122	CALIFORNIA	No
4	2085U0001X	Radiology	Diagnostic Ultrasound	C33122	CALIFORNIA	No
5	2085R0202X	Radiology	Diagnostic Radiology	C33122	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	WC33122	MEDICARE ID-TYPE UNSPECIFIED
2	00C331220	MEDICAID	CALIFORNIA
3	A35170	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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