MOTHER LODE DIAGNOSTIC IMAGING INC
NPI 1053456061
Radiology - Diagnostic Radiology in Jackson, CA

Active since February 20, 2007
200 MISSION BLVD, JACKSON, CA 95642(209) 223-0949(209) 223-0965 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2022, Sep 21, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Mother Lode Diagnostic Imaging Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOTHER LODE DIAGNOSTIC IMAGING INC (NPI 1053456061) is a healthcare organization registered as a diagnostic radiology in Jackson, California and active in the NPI registry since February 2007. The organization lists Batxer Richardson, President, as its authorized official.

NPPES Registry Identity

NPI1053456061
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMOTHER LODE DIAGNOSTIC IMAGING INC
Location Address200 MISSION BLVDJackson, CA 95642-2564
Mailing AddressPo Box 5617Saginaw, MI 48603-0617 · (209) 262-1845 · Fax (989) 401-4235
Fax(209) 223-0965
Organization SubpartNo
Authorized OfficialBatxer RichardsonPresident · (209) 223-7560
Enumeration DateFebruary 20, 2007
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1053456061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
200 MISSION BLVD, Jackson, CA 95642

Other Identifiers 1

MedicaidGR0043480CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mother Lode Diagnostic Imaging Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Mother Lode Diagnostic Imaging Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 21
Diagnostic Radiology
NPI 1194144170
200 MISSION BLVD
Jackson, CA 95642
(209) 223-7500
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1306109905
200 MISSION BLVD
Jackson, CA 95642
(209) 223-7560
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1780691287
2801 K ST SUITE 502
Sacramento, CA 95816
(877) 515-0053
✔ PECOS✔ Accepts Medicare43 mi
Diagnostic Radiology
NPI 1447517255
155 N FRESNO ST
Fresno, CA 93701
(559) 499-6500
✔ PECOS✔ Accepts Medicare123 mi
Diagnostic Radiology
NPI 1649488545
400 W MINERAL KING AVE
Visalia, CA 93291
(559) 734-9244
✔ PECOS162 mi
Diagnostic Radiology
NPI 1790982254
2301 BAHAMAS DR
Bakersfield, CA 93309
(661) 326-9600
✔ PECOS✔ Accepts Medicare226 mi
Diagnostic Radiology
NPI 1134169139
18344 CLARK STREET SUITE 101
Tarzana, CA 91356
(818) 881-9811
✔ PECOS314 mi
Diagnostic Radiology
NPI 1851657076
1812 VERDUGO BLVD
Glendale, CA 91208
(818) 790-7100
✔ PECOS319 mi
Diagnostic Radiology
NPI 1659396356
10833 LE CONTE AVE
Los Angeles, CA 90095
(310) 825-4721
✔ PECOS323 mi
Diagnostic Radiology
NPI 1649392028
15370 FAIRFIELD RANCH RD # B-2
Chino Hills, CA 91709
(800) 723-6186
✔ PECOS347 mi
Diagnostic Radiology
NPI 1659317667
5528 E LA PALMA AVE SUITE 4-A
Anaheim, CA 92807
(714) 970-0200
✔ PECOS✔ Accepts Medicare352 mi
Diagnostic Radiology
NPI 1417375486
101 THE CITY DRIVE SOUTH, ROUTE 140
Orange, CA 92868
(714) 456-7273
✔ PECOS✔ Accepts Medicare353 mi
Diagnostic Radiology
NPI 1760421432
11234 ANDERSON ST STE B623
Loma Linda, CA 92354
(909) 558-4000
✔ PECOS✔ Accepts Medicare355 mi
Diagnostic Radiology
NPI 1376579433
1100 N TUSTIN AVE
Santa Ana, CA 92705
(714) 953-3390
✔ PECOS357 mi
Diagnostic Radiology
NPI 1295962744
1145 STURGIS ROAD
Twentynine Palms, CA 92278
(760) 830-2190
✔ PECOS388 mi
Diagnostic Radiology
NPI 1710097001
1201 S MILLER ST
Wenatchee, WA 98801
(509) 663-8711
✔ PECOS625 mi
Diagnostic Radiology
NPI 1669411260
602 INDIANA AVENUE
Lubbock, TX 79415
(806) 775-8400
✔ PECOS1,105 mi
Diagnostic Radiology
NPI 1386694040
2240 SUTHERLAND AVE STE 107
Knoxville, TN 37919
(865) 584-7376
✔ PECOS2,025 mi
Diagnostic Radiology
NPI 1356517130
119 OAKFIELD DR
Brandon, FL 33511
(904) 236-5884
✔ PECOS✔ Accepts Medicare2,325 mi
Diagnostic Radiology
NPI 1891149852
155 BAY ST. UNIT 2204
Jersey City, NJ 07302
(201) 444-5945
✔ PECOS✔ Accepts Medicare2,472 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mother Lode Diagnostic Imaging Inc's NPI number?

The NPI number for Mother Lode Diagnostic Imaging Inc is 1053456061. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Mother Lode Diagnostic Imaging Inc located?

Mother Lode Diagnostic Imaging Inc is located at 200 Mission Blvd, Jackson, CA 95642. The listed phone number is (209) 223-0949.

What is Mother Lode Diagnostic Imaging Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mother Lode Diagnostic Imaging Inc enrolled in Medicare?

Yes. Mother Lode Diagnostic Imaging Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mother Lode Diagnostic Imaging Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Mother Lode Diagnostic Imaging Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mother Lode Diagnostic Imaging Inc was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.