NORTHSTAR RADIOLOGY - CALIFORNIA NPI 1750788865

NPI Information

NPI: 1750788865
Provider Name: NORTHSTAR RADIOLOGY - CALIFORNIA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1800 SPRING RIDGE DR
SUSANVILLE, CA
ZIP 96130
Phone: (608) 788-8103
Get Directions

NORTHSTAR RADIOLOGY - CALIFORNIA is a diagnostic radiology radiology in Susanville, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHSTAR RADIOLOGY - CALIFORNIA NPI is 1750788865. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1800 SPRING RIDGE DR
SUSANVILLE, CA
ZIP 96130-100
Phone: (608) 788-8103
Fax: (608) 788-8799

The provider's authorized official is Robert Leckie .
The authorized official title is Owner and has the following contact phone number (775) 853-8422.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 8/27/2015.

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	2085R0202X	Radiology	Diagnostic Radiology			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	Other Provider Identifier Issuer
1	CA145272	MEDICARE PIN	CALIFORNIA
2	CA145271	MEDICARE PIN	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »