Edgar C Stambuk (NPI# 1194808295, PAC ID# 8820984289) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1194808295 |
| PAC ID by PECOS | 8820984289 |
| Professional Enrollment ID | I20050730000198 |
| Full Name | Edgar C Stambuk |
| Organization Legal Name | ST JUDE RADIOLOGY MEDICAL GROUP INC |
| Address |
101 E Valencia Mesa Dr Fullerton CA 92835-3809 |
| Phone Number | 7149923978 |
| Gender | M |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7214838002 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050168 | ST JUDE MEDICAL CENTER |
| 050589 | PLACENTIA LINDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 7149923978 | ST JUDE RADIOLOGY MEDICAL GROUP INC |
| 2151 N Harbor Blvd, Fullerton, CA 92835-3820 | 7149923000 | ST JUDE RADIOLOGY MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | ST JUDE RADIOLOGY MEDICAL GROUP INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hao Q Ngo | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Phillip Unger | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Bradley A Jackson | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Brenna A Chalmers | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Ralph T Marcus | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Samuel L Maxwell Jr. | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Brian Tzung | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Bradford J Silveira | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Chau Q Huynh | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Timmy M Joseph | Interventional Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Street Address |
101 E VALENCIA MESA DR |
| City | FULLERTON |
| State | CA |
| Zip | 92835-3809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiho Woo | Internal Medicine | St Joseph Heritage Healthcare | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 |
| Pius Jin Kim | Internal Medicine | St Joseph Heritage Healthcare | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 |
| Hao Q Ngo | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| John B Maccarthy | Anesthesiology | Allied Anesthesia Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Soheil Nafeei | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Brian D Fong | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Jae K Kim | Internal Medicine | St Joseph Heritage Healthcare | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 |
| Jim Nguyen | Anesthesiology | Allied Anesthesia Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Phillip Unger | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Scott A Wang | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Dedes | Interventional Pain Management | 295 Imperial Hwy, Suite 100, Fullerton, CA 92835-1020 | |
| Alvaro O Liceaga | Interventional Pain Management | 295 Imperial Hwy 100, Fullerton, CA 92835-1020 | |
| Sara Said | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Stella R Vargas | Physical Therapy | 373 Imperial Hwy, Fullerton, CA 92835-1040 | |
| Johnson L Moon | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Priscilla P Armstrong | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Margaret M Slaven | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Manpreet Kaur Multani | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Eileen S Kang | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Kiran Bath | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Find all physicians in zip 92835 | |||
| City | FULLERTON |
| Zip Code | 92835 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FULLERTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Edgar C Stambuk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.