DELTA RADIOLOGY MEDICAL GROUP, INC. – NPI #1043229271
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

DELTA RADIOLOGY MEDICAL GROUP, INC. is a radiologist located in LODI, CA. NPPES has assigned the NPI number 1043229271 to DELTA RADIOLOGY MEDICAL GROUP, INC. on August 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Dec 11, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DELTA RADIOLOGY MEDICAL GROUP, INC. below.

NPI Profile for
DELTA RADIOLOGY MEDICAL GROUP, INC.

NPI Number
1043229271
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DELTA RADIOLOGY MEDICAL GROUP, INC.
Primary location
1121 W VINE ST
SUITE 15
LODI, CA 95240-5137
Phone: (209) 334-4416 Fax: (209) 371-0119
Mailing address
PO BOX 15498
SACRAMENTO, CA 95851-0498
Phone: (559) 455-4000 Fax: (559) 455-4007
Organization Subpart
No
Authorized Official
TERRY GOLDBERG
CEO
Phone: (209) 334-4416
Updated
Identifiers

Identifiers for DELTA RADIOLOGY MEDICAL GROUP, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAZZZ47020Z
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.