EASTERN SIERRA RADIOLOGY – NPI #1790798460
Radiology

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

EASTERN SIERRA RADIOLOGY is a radiologist located in BISHOP, CA. NPPES has assigned the NPI number 1790798460 to EASTERN SIERRA RADIOLOGY on August 14, 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 6 years ago on Aug 22, 2020. 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 EASTERN SIERRA RADIOLOGY below.

NPI Profile for
EASTERN SIERRA RADIOLOGY

NPI Number
1790798460
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
EASTERN SIERRA RADIOLOGY
Primary location
150 PIONEER LN
BISHOP, CA 93514-2556
Phone: (760) 873-2171 Fax: (626) 445-0302
Mailing address
333 N SANTA ANITA AVE
SUITE 9
ARCADIA, CA 91006-2863
Phone: (626) 445-0004 Fax: (626) 445-0302
Organization Subpart
No
Authorized Official
JOHN NESSON
PRESIDENT
Phone: (626) 445-0004
Updated
Identifiers

Identifiers for EASTERN SIERRA RADIOLOGY

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
OTHERBLUE CROSSCAA22120
OTHERBLUE SHIELDCAZZZ04744Z
MEDICAIDCA00A221201
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)
CA A22120

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.